Individual
HEATHER M DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
(620) 694-4166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78624
KS
363LF0000X
Family Nurse Practitioner
AP123115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0133066
AANP CERTIFICATION
TX
Enumeration date
01/15/2013
Last updated
08/24/2021
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