Healthcare Provider Details

I. General information

NPI: 1407031297
Provider Name (Legal Business Name): DANA C HULL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA C LECKRON CRNP

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 03/07/2023
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E MAIN ST
WAYNESBORO PA
17268-2332
US

IV. Provider business mailing address

785 5TH AVENUE SUITE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 717-765-5086
  • Fax: 717-762-4551
Mailing address:
  • Phone: 717-263-9555
  • Fax: 717-217-4218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP009156
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: