Basic Information
| Provider Information | |||||||||
| NPI: | 1083923650 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | IRONS | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 249 EAST HIGHWAY 54 | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192519223 | ||||||||
| FaxNumber: | 9192539343 | ||||||||
| Practice Location | |||||||||
| Address1: | 249 EAST HIGHWAY 54 | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192519223 | ||||||||
| FaxNumber: | 9192539343 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2010 | ||||||||
| LastUpdateDate: | 05/24/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 5004854 | NC | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LF0000X | 5004854 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.