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NPI Code Detail

MEDICARE: MRS. DANA RENEE SUMMERS

MEDICARE:  MRS. DANA RENEE SUMMERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyIN

General Provider Information

NPI Number : 1255172649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA RENEE SUMMERS
Provider Business Mailing Address
First Line : 55 S STATE AVE STE 365
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-3873
Country : US
Telephone Number : 317-918-0669
Fax Number :
Provider Business Practice Location Address
First Line : 55 S STATE AVE STE 365
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-3873
Country : US
Telephone Number : 317-918-0669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2024
Last Update Date : 06/01/2024

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Directions to “ MRS. DANA RENEE SUMMERS ” Practice Location

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