Provider Demographics
NPI:1144831397
Name:MARCHETTI, DANA LYNN (FNP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LYNN
Last Name:MARCHETTI
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 1:113 MEADOWVUE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4212
Mailing Address - Country:US
Mailing Address - Phone:615-554-0751
Mailing Address - Fax:
Practice Address - Street 1:113 MEADOWVUE DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-4212
Practice Address - Country:US
Practice Address - Phone:615-554-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN115174363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health