Provider Demographics
NPI:1457984759
Name:FERRY, DANA MARIE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:MARIE
Last Name:FERRY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:MARIE
Other - Last Name:BUCKALEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 FERN HILL RD
Mailing Address - Street 2:BUILDING A SUITE 3
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-738-2450
Mailing Address - Fax:610-738-2477
Practice Address - Street 1:915 FERN HILL ROAD
Practice Address - Street 2:BUILDING A SUITE 3
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-738-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021222363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health