Healthcare Provider Details

I. General information

NPI: 1851444129
Provider Name (Legal Business Name): DANA L PARKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA L MUSSER NP

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW SUITE 4800N
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW SUITE 2700N
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 202-726-5484
  • Fax: 202-726-4587
Mailing address:
  • Phone: 202-723-5524
  • Fax: 202-291-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN61399
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: