Individual provider · Type 1 NPI

Shayna Nicole Dallas, FNP-C

Nurse Practitioner · Wichita, KS

NPI number 1962979732 Active

Practice location

818 N Carriage Pkwy
Wichita, KS 67208-4500

Mailing address

PO Box 8035
Wichita, KS 67208-0035

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X53-79380 (KS)

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 1962979732

Shayna Nicole Dallas, FNP-C's National Provider Identifier is 1962979732, issued on Oct 30, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wichita, KS. The record was last updated on Apr 29, 2020.