=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851232979
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANETTE PACANA UNABIA REGISTERED NURSE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2026
-----------------------------------------------------
Last Update Date | 04/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9301 MADISON ST
-----------------------------------------------------
City | CROWN POINT
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46307-7745
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-662-5000
-----------------------------------------------------
Fax | 219-662-5181
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1455 CEDAR CREEK CT
-----------------------------------------------------
City | VALPARAISO
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46385-6152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-662-5000
-----------------------------------------------------
Fax | 219-662-5181
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WP2201X
-----------------------------------------------------
Taxonomy Name | Ambulatory Care Registered Nurse
-----------------------------------------------------
License Number | 28225838A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------