DALLAS LANE EARNSHAW APRN CNS BC NPI 1780777649

NPI Information

NPI: 1780777649
Provider Name: DALLAS LANE EARNSHAW, APRN, CNS, BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: WASATCH MENTAL HEALTH SERVICES SPECIAL SERVICE DISTRICT

PECOS Registration: Yes

Address:
750 N FREEDOM BLVD
PROVO, UT
ZIP 84601
Phone: (801) 373-4760
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Dallas Lane Earnshaw, APRN, CNS, BC is a psychiatric/mental health nurse practitioner in Provo, UT with 26 years of experience. Dallas Lane Earnshaw, APRN, CNS, BC NPI is 1780777649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 N FREEDOM BLVD
PROVO, UT
ZIP 84601-677
Phone: (801) 373-4760

The NPI 1780777649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	212165-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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