Individual provider · Type 1 NPI

Zacharias Alan Dane, FNP-C

Family Nurse Practitioner · Farmington, MO

NPI number 1124758495 Active

Practice location

555 W Pine St
Farmington, MO 63640-1439

Fax (573) 747-1512

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XF06220239 (MO)
Family Nurse Practitioner Primary 363LF0000X2022022676 (MO)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1124758495

Zacharias Alan Dane, FNP-C's National Provider Identifier is 1124758495, issued on Jun 10, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Farmington, MO. The record was last updated on Jul 31, 2025.