MEDICARE: DANA LYNN CARLY REEHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	CNP13105	OH
2	363L00000X	Nurse Practitioner	SP010791	PA

General Provider Information

NPI Number	:	1770800229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA LYNN CARLY REEHER

Provider Business Mailing Address
First Line	:	6505 MARKET ST
Second Line	:
City	:	BOARDMAN
State	:	OH
Zip	:	44512-3457
Country	:	US
Telephone Number	:	330-543-3276
Fax Number	:

Provider Business Practice Location Address
First Line	:	6505 MARKET ST
Second Line	:
City	:	BOARDMAN
State	:	OH
Zip	:	44512-3457
Country	:	US
Telephone Number	:	330-543-3276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2010
Last Update Date	:	01/05/2026

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Directions to “ DANA LYNN CARLY REEHER ” Practice Location

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