Healthcare Provider Details

I. General information

NPI: 1851232979
Provider Name (Legal Business Name): DANETTE PACANA UNABIA REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 MADISON ST
CROWN POINT IN
46307-7745
US

IV. Provider business mailing address

1455 CEDAR CREEK CT
VALPARAISO IN
46385-6152
US

V. Phone/Fax

Practice location:
  • Phone: 219-662-5000
  • Fax: 219-662-5181
Mailing address:
  • Phone: 219-662-5000
  • Fax: 219-662-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number28225838A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: