Healthcare Provider Details

I. General information

NPI: 1043173149
Provider Name (Legal Business Name): DANA MARIE CONLEY RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA MAROE ANDERSON

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HIGHWAY 6 W
IOWA CITY IA
52246-2209
US

IV. Provider business mailing address

802 MAPLE ST
WILTON IA
52778-9732
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-0581
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041400358
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number129674
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: