Provider Demographics
NPI:1366222101
Name:VERCELLA, DANA LINDSEY
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LINDSEY
Last Name:VERCELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19053 RIDGEVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-5063
Mailing Address - Country:US
Mailing Address - Phone:216-317-2121
Mailing Address - Fax:
Practice Address - Street 1:19053 RIDGEVIEW TRL
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5063
Practice Address - Country:US
Practice Address - Phone:216-317-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker