Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | MW010243 | PA |
NPI | 1073807988 |
---|---|
Provider Name | Dana L. Schade |
First Address | Lancaster, PA 17601-2438 |
Second Address | Lancaster, PA 17601-2433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2011 |
Last Update Date | 22/02/2017 |