Healthcare Provider Details

I. General information

NPI: 1922958412
Provider Name (Legal Business Name): DANA PETERSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9002 MCCORMICK ST
SPRING HILL FL
34608-5541
US

IV. Provider business mailing address

9002 MCCORMICK ST
SPRING HILL FL
34608-5541
US

V. Phone/Fax

Practice location:
  • Phone: 813-606-2421
  • Fax:
Mailing address:
  • Phone: 813-606-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number241019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: