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Dallas Lane Earnshaw, APRN,CNS,BC
Psychiatric/Mental Health Nurse Practitioner in Provo, Utah
NPI 1780777649

Dallas Lane Earnshaw is a Psychiatric/Mental Health Nurse Practitioner based in Provo, UT and is specialized in Psychiatric/Mental Health. Dallas Lane Earnshaw practices in Provo, UT and has the professional credentials of APRN,CNS,BC. The NPI Number for Dallas Lane Earnshaw is 1780777649 and holds a License No. 212165-4405 (Utah).

The current practice location address for Dallas Lane Earnshaw is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760.

Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780777649
Provider Name
Dallas Lane Earnshaw
Credential
APRN,CNS,BC
Provider Entity Type
Individual
Gender
Male
Address
750 N Freedom Blvd, Provo, UT, 84601-1677
Phone Number
801-373-4760
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
212165-4405 (Utah)
Definition
Definition to come...
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