Provider Demographics
NPI:1528239704
Name:ROGERS, DANA LYNN (CNP, DNP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LYNN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:CNP, DNP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:LYNN
Other - Last Name:DIMARCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:13555 MOUNT EATON ROAD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44230
Mailing Address - Country:US
Mailing Address - Phone:440-666-3707
Mailing Address - Fax:330-458-4058
Practice Address - Street 1:155 HERITAGE WOODS DRIVE
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321
Practice Address - Country:US
Practice Address - Phone:330-666-0980
Practice Address - Fax:330-666-3835
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN323117163W00000X
OH09982363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse