Healthcare Provider Details

I. General information

NPI: 1811533441
Provider Name (Legal Business Name): DANA DUREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date: 07/28/2022
Reactivation Date: 12/24/2024

III. Provider practice location address

300 E MAIN ST
MILFORD MA
01757-2806
US

IV. Provider business mailing address

300 E MAIN ST
MILFORD MA
01757-2806
US

V. Phone/Fax

Practice location:
  • Phone: 508-478-0207
  • Fax:
Mailing address:
  • Phone: 508-478-0207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: