Individual provider · Type 1 NPI

Susan Dale, RN, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1699045369 Active

Practice location

2222 Welborn St
Dallas, TX 75219-3924

Fax (214) 443-7309

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X255654 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699045369

Susan Dale, RN, CPNP's National Provider Identifier is 1699045369, issued on Jan 11, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Mar 25, 2016.