Provider Demographics
NPI:1023292273
Name:MCCLANAHAN, DANA LEIGH (FNP)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:LEIGH
Last Name:MCCLANAHAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 PATTON FARM RD
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477
Mailing Address - Country:US
Mailing Address - Phone:540-943-7101
Mailing Address - Fax:540-943-7179
Practice Address - Street 1:272 PATTON FARM RD
Practice Address - Street 2:
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477
Practice Address - Country:US
Practice Address - Phone:540-943-7101
Practice Address - Fax:540-943-7179
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily