Provider Demographics
NPI:1720453293
Name:WARE, DANNA (R N)
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:
Last Name:WARE
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:DANNA
Other - Middle Name:ELIZABETH
Other - Last Name:WARE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:197 N DIXMONT RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:ME
Mailing Address - Zip Code:04987-3034
Mailing Address - Country:US
Mailing Address - Phone:207-343-4388
Mailing Address - Fax:207-948-6220
Practice Address - Street 1:197 N DIXMONT RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:ME
Practice Address - Zip Code:04987-3034
Practice Address - Country:US
Practice Address - Phone:207-343-4388
Practice Address - Fax:207-948-6220
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME35630163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse