Provider Demographics
NPI:1255975348
Name:ALLGOOD, DANA LEIGH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LEIGH
Last Name:ALLGOOD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:LEIGH
Other - Last Name:GILLELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SMITH
Mailing Address - Street 1:5975 W CHANDLER BLVD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3422
Mailing Address - Country:US
Mailing Address - Phone:480-753-1826
Mailing Address - Fax:
Practice Address - Street 1:5975 W CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3422
Practice Address - Country:US
Practice Address - Phone:480-753-1826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ234161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily