Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENEE LYNN DALLAS, CRNP
Active Sole ProprietorRENEE LYNN DALLAS, CRNP is a Primary Care Nurse Practitioner healthcare provider located in 680 BLAIR MILL ROAD, Pennsylvania. NPI 1386412617 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · 680 BLAIR MILL ROAD, PA
Registration Details
- NPI Number
- 1386412617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2023 (2.6731564006152 yrs)
- Last Updated
- Dec 15, 2023
- License
-
RN667379 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
OPTUM CARE SERVICES COMPANY680 BLAIR MILL ROAD, PA, 19044Browse PA providers · Browse ZIP 19044
- Phone
- 9999999999
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.