Individual
DALLAS JOSEPH COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,NP
Contact information
Practice address
77 GLADE DR, KITTANNING, PA 16201-7140
(724) 545-2205
(724) 545-2600
Mailing address
PO BOX 977, KITTANNING, PA 16201-0977
(800) 634-0201
(844) 442-5123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN695719
PA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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