Individual provider · Type 1 NPI
Glynda Mae Dallas, CNP
Nurse Practitioner · Clovis, NM
Practice location
2000 W 21st St, #A-1
Clovis, NM 88101-4087
Fax (575) 763-3351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R47073 (NM) |
Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1255383261
Glynda Mae Dallas, CNP's National Provider Identifier is 1255383261, issued on May 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clovis, NM. The record was last updated on Feb 29, 2012.