Provider Demographics
NPI:1801872668
Name:BURTON, DANA RUTH (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:RUTH
Last Name:BURTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:RUTH
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9050 CENTRE POINTE DR
Mailing Address - Street 2:STE 400
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4874
Mailing Address - Country:US
Mailing Address - Phone:937-864-2867
Mailing Address - Fax:
Practice Address - Street 1:9050 CENTRE POINTE DR
Practice Address - Street 2:STE 400
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4874
Practice Address - Country:US
Practice Address - Phone:937-864-2867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06967363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2378332Medicaid
OHNP10655OtherMEDICARE PTAN
OH2378332Medicaid
OHP61464Medicare UPIN
OHDANP10654Medicare UPIN