Individual provider · Type 1 NPI

Juanita R. Dale, PhD, RN, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1407933047 Active

Practice location

1935 Medical District Dr, Center For Pediatric Neurology - F5400
Dallas, TX 75235-7701

Fax (214) 456-6898

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	226586 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407933047

Juanita R. Dale, PhD, RN, CPNP's National Provider Identifier is 1407933047, issued on Nov 1, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Dec 16, 2011.