Provider Demographics
NPI:1225407562
Name:SHUEY, DANA LOUISE (CNP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LOUISE
Last Name:SHUEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8426
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-8426
Mailing Address - Country:US
Mailing Address - Phone:663-892-7278
Mailing Address - Fax:
Practice Address - Street 1:6015 E BROWN RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4452
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1043247363L00000X
OR201507979NP-PP363L00000X
WAAP60598016363L00000X, 363LF0000X
NM73219363LF0000X
SDCP003115363LF0000X
WY54420363LF0000X
CO0994710-NP363LF0000X
MTAPRN-222187363LF0000X
NE882009363LF0000X
AZ299065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8957389Medicare UPIN