Provider Demographics
NPI:1316086192
Name:KRAMER, DANA ELLEN (RN)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:ELLEN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2753 TITANIA PL
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-6554
Mailing Address - Country:US
Mailing Address - Phone:805-579-0405
Mailing Address - Fax:818-368-9671
Practice Address - Street 1:2753 TITANIA PL
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-6554
Practice Address - Country:US
Practice Address - Phone:805-579-0405
Practice Address - Fax:818-368-9671
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN482603163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical