Healthcare Provider Details

I. General information

NPI: 1720311848
Provider Name (Legal Business Name): DANA C FIORI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. DANA C CUSHING

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 S BRAFORD STREET
DOVER DE
19904-4137
US

IV. Provider business mailing address

807 S BRAFORD STREET
DOVER DE
19904-4137
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-7155
  • Fax: 302-674-7156
Mailing address:
  • Phone: 302-674-7155
  • Fax: 302-674-7156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0000673
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: