Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 718389 | TX |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP114458 | TX |
NPI | 1003005281 |
---|---|
Provider Name | Mrs. Darleen Dansby |
First Address | Mansfield, TX 76063-5340 |
Second Address | Dallas, TX 75235-2303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 11/10/2021 |