Glynda Mae Dallas in Clovis - Nurse Practitioner
Glynda Mae Dallas - NPI 1255383261
Glynda Mae Dallas is a Nurse Practitioner in Clovis, New Mexico. Glynda Mae Dallas practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Glynda Mae Dallas is 1255383261. The last update date is 2012-02-29.
Glynda Mae Dallas's current location address is 2000 W 21st St, Clovis, New Mexico. You can contact this provider via phone number 5757628055 and fax number 5757633351. The mailing address for Glynda Mae Dallas is 2000 W 21st St, Clovis, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glynda Mae Dallas |
|---|---|
| Address | 2000 W 21st St, Clovis, New Mexico |
| Phone Number | 5757628055 |
| Fax Number | 5757633351 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1255383261 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2012-02-29 |
Provider Mailing Address Detail
| Address | 2000 W 21st St |
|---|---|
| City | Clovis |
| State | New Mexico (NM) |
| Post Code | 881014087 |
| Phone Number | 5757628055 |
| Fax Number | 5757633351 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R47073 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39038 | NM | -- |
Post Comment/ Review Below
What is the Glynda Mae Dallas's unique identification number?
The Glynda Mae Dallas has been assigned the NPI (National Provider Identifier) Number 1255383261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Glynda Mae Dallas's facilities are situated?
The facilities of Glynda Mae Dallas are physically located at the following address: 2000 W 21St St, Clovis, NM, 881014087.
What is the Glynda Mae Dallas's specialty and taxonomy code?
The Glynda Mae Dallas's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Glynda Mae Dallas receive the assignment of its 1255383261 from the Centers for Medicare & Medicaid Services?
The Glynda Mae Dallas was issued its 1255383261 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date was the information regarding Glynda Mae Dallas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glynda Mae Dallas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-29.