Provider Demographics
NPI:1952780058
Name:SHEEHAN, DANA (DNP, APRN-BC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:DNP, APRN-BC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:ORLANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2166 NW VINE ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-8413
Mailing Address - Country:US
Mailing Address - Phone:541-474-8000
Mailing Address - Fax:541-474-8000
Practice Address - Street 1:2166 NW VINE ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-8413
Practice Address - Country:US
Practice Address - Phone:541-474-8000
Practice Address - Fax:541-474-3296
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9264505363L00000X
OR202003414NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner