Healthcare Provider Details

I. General information

NPI: 1710285101
Provider Name (Legal Business Name): DANA ANDERSON ERGAS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA COURTNEY ANDERSON

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 04/09/2023
Certification Date: 04/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 LINDEN AVE
BALTIMORE MD
21201-4606
US

IV. Provider business mailing address

7 NORWICK CIR
LUTHERVILLE TIMONIUM MD
21093-2519
US

V. Phone/Fax

Practice location:
  • Phone: 410-225-8000
  • Fax:
Mailing address:
  • Phone: 954-347-4988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9171034
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR214688
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: