Renee Lynn Dallas, CRNP - Nurse Practitioner in 680 Blair Mill Road, PA

Renee Lynn Dallas, CRNP is a Nurse Practitioner - Primary Care based in 680 Blair Mill Road, Pennsylvania. Renee Lynn Dallas is licensed to practice in Pennsylvania (license number RN667379) and her current practice location is Optum Care Services Company, 680 Blair Mill Road, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (999) 999-9999.

NPI number for Renee Lynn Dallas is 1386412617 and her current mailing address is 5101 Highland Park Ave, Altoona, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386412617.

Contact Information

Renee Lynn Dallas, CRNP
Optum Care Services Company,
680 Blair Mill Road, PA 19044
(999) 999-9999
Not Available



Provider's Profile

Full NameRenee Lynn Dallas
GenderFemale
SpecialityNurse Practitioner - Primary Care
LocationOptum Care Services Company, 680 Blair Mill Road, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386412617
  • Provider Enumeration Date: 12/15/2023
  • Last Update Date: 12/15/2023

Medical Identifiers

Medical identifiers for Renee Lynn Dallas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386412617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care RN667379 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renee Lynn Dallas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renee Lynn Dallas, CRNP
5101 Highland Park Ave,
Altoona, PA 16602-1440

Ph: (814) 935-1314
Renee Lynn Dallas, CRNP
Optum Care Services Company,
680 Blair Mill Road, PA 19044

Ph: (999) 999-9999

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Nurse Practitioner Nurses in 680 Blair Mill Road, PA


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