person
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. You can also correspond with Dallas Lane Earnshaw through the mailing address at 750 N FREEDOM BLVD, PROVO, UT - 84601-1677 (mailing address contact number: 801-373-4760).

Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
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
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
State
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
License No.
212165-4405 (Utah)
Definition
Definition to come...
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