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RENEE LYNN DALLAS CRNP
NPI 1386412617
Nurse Practitioner - Primary Care in 680 Blair Mill Road, PA

Active since December 15, 2023
OPTUM CARE SERVICES COMPANY, 680 BLAIR MILL ROAD, PA 19044(999) 999-9999 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renee Lynn Dallas Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE LYNN DALLAS CRNP (NPI 1386412617) is an individual primary care provider in 680 Blair Mill Road, Pennsylvania, licensed in Pennsylvania (RN667379) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1386412617
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameRENEE LYNN DALLASCredential: CRNP
Location AddressOPTUM CARE SERVICES COMPANY680 Blair Mill Road, PA 19044
Mailing Address5101 Highland Park AveAltoona, PA 16602-1440 · (814) 935-1314
Phone(999) 999-9999
Sole ProprietorYes
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1386412617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in PA · RN667379
OPTUM CARE SERVICES COMPANY, 680 Blair Mill Road, PA 19044
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Dallas's NPI number?

The NPI number for Renee Dallas is 1386412617. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Renee Dallas located?

Renee Dallas practices at Optum Care Services Company, 680 Blair Mill Road, PA 19044. The listed phone number is (999) 999-9999.

What is Renee Dallas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Renee Dallas was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.