Individual
DANA MELANCON PALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
58515 PEARL ACRES RD, SLIDELL, LA 70461-5423
(985) 641-8982
Mailing address
419 N TALLOWWOOD DR, COVINGTON, LA 70433-6291
(504) 473-3262
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
AP04972
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04972
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02930323
—
MS
01
—
101720
RN LICENSE
LA
05
—
1583049
—
LA
01
—
AP04972
ADVANCED PRACTICE LICENSE
LA
Enumeration date
08/09/2006
Last updated
06/11/2025
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