Healthcare Provider Details

I. General information

NPI: 1780191551
Provider Name (Legal Business Name): DANA SCHNELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 02/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29605 US HIGHWAY 19 N STE 170
CLEARWATER FL
33761-1538
US

IV. Provider business mailing address

PO BOX 69
JUPITER FL
33468-0069
US

V. Phone/Fax

Practice location:
  • Phone: 727-771-8444
  • Fax:
Mailing address:
  • Phone: 561-406-6062
  • Fax: 561-406-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9338671
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: