Individual
MICHELE DONISE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1111 RAINTREE CIR STE 240, ALLEN, TX 75013-4902
(214) 644-0280
(214) 644-0294
Mailing address
1111 RAINTREE CIR STE 240, ALLEN, TX 75013-4902
(214) 644-0280
(214) 644-0294
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
601191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129982807
—
TX
Enumeration date
10/06/2011
Last updated
12/13/2022
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