National Provider Identifier
Maureen T Dallas, PNP
Maureen T Dallas, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in North Tonawanda, NY and a listed phone number of (716) 807-7337.
Profile Overview
- NPI
- 1629621867
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- July 17, 2019
- Last Updated
- July 17, 2019
Practice Location
- 2890 Niagara Falls Blvd
- North Tonawanda, NY 14120-1114
Phone: (716) 807-7337
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1629621867
- Entity Type
- Individual
- Last Name
- Dallas
- First Name
- Maureen
- Middle Name
- T
- Credential
- PNP
- Mailing Street Address
- 2890 Niagara Falls Blvd
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-1114
- Mailing Country
- US
- Mailing Phone
- (716) 807-7337
- Mailing Fax
- (716) 213-4400
- Practice Street Address
- 2890 Niagara Falls Blvd
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-1114
- Practice Country
- US
- Practice Phone
- (716) 807-7337
- Practice Fax
- (716) 213-4400
- Enumeration Date
- July 17, 2019
- Last Updated
- July 17, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)