Rebecca K Dallas
Nurse Practitioner - Pediatrics
1655 Wake Drive Suite 101
Wake Forest
, North Carolina 27587-4746
Rebecca K Dallas
Nurse Practitioner - Pediatrics
1655 Wake Drive Suite 101
Wake Forest
, North Carolina 27587-4746
(919) 556-5277
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Rebecca K Dallas
- 1655 Wake Drive Suite 101
- Wake Forest, NC
- Zip : 27587-4746
- Fax : (919) 556-5277
- Phone : (919) 556-4779
Second Address
- Rebecca K Dallas
- 1655 Wake Drive Suite 101
- Wake Forest, NC
- Zip : 27587-4746
- Fax : (919) 556-5277
- Phone : (919) 556-4779
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 5006981 | NC |
National Provider Identifier
| NPI | 1013311653 |
|---|---|
| Provider Name | Rebecca K Dallas |
| First Address | Wake Forest, NC 27587-4746 |
| Second Address | Wake Forest, NC 27587-4746 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2014 |
| Last Update Date | 10/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.