Provider Demographics
NPI:1417546854
Name:SCHUMAN, DANA MICHAEL (APRN)
Entity type:Individual
Prefix:MR
First Name:DANA
Middle Name:MICHAEL
Last Name:SCHUMAN
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16673 NE 35TH AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3827
Mailing Address - Country:US
Mailing Address - Phone:561-756-5559
Mailing Address - Fax:
Practice Address - Street 1:16673 NE 35TH AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3827
Practice Address - Country:US
Practice Address - Phone:561-756-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010961363LA2100X, 363LG0600X
FLAPRN11010961363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11010961OtherSTATE BOARD OF NURSING