Renee Lynn Dallas, CRNP | |
Optum Care Services Company, 680 Blair Mill Road, PA 19044 | |
(999) 999-9999 | |
Not Available |
Full Name | Renee Lynn Dallas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | Optum Care Services Company, 680 Blair Mill Road, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386412617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | RN667379 (Pennsylvania) | Primary |
Mailing Address | Practice 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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