Provider Demographics
NPI:1912111485
Name:DANISON, CARALEE TRACIE (RN)
Entity Type:Individual
Prefix:
First Name:CARALEE
Middle Name:TRACIE
Last Name:DANISON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 WATER ST
Mailing Address - Street 2:
Mailing Address - City:PHILO
Mailing Address - State:OH
Mailing Address - Zip Code:43771
Mailing Address - Country:US
Mailing Address - Phone:740-674-6058
Mailing Address - Fax:
Practice Address - Street 1:369 WATER ST
Practice Address - Street 2:
Practice Address - City:PHILO
Practice Address - State:OH
Practice Address - Zip Code:43771
Practice Address - Country:US
Practice Address - Phone:740-674-6058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-195003163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health