Individual
MS. DANA MARIE LAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2231 BURDETT AVE STE 160, TROY, NY 12180-2453
(518) 326-1620
(518) 326-1622
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
709342-1
NY
176B00000X
Midwife
Primary
001647
NY
176B00000X
Midwife
F001647-1
NY
367A00000X
Advanced Practice Midwife
MW010286
PA
Other
Enumeration date
10/11/2012
Last updated
07/01/2025
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