Individual
MISS JANETTE E DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8400
(937) 245-6308
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.020096
OH
363LA2200X
Adult Health Nurse Practitioner
020096
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207400
—
OH
Enumeration date
01/13/2017
Last updated
01/06/2022
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