Healthcare Provider Details

I. General information

NPI: 1912379264
Provider Name (Legal Business Name): DALE ANN NASBY MS, RN, PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 01/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 ELTON HILLS DR NW
ROCHESTER MN
55901-2988
US

IV. Provider business mailing address

382 NORSEMAN CT NW
ROCHESTER MN
55901-2430
US

V. Phone/Fax

Practice location:
  • Phone: 507-322-6564
  • Fax: 507-322-6566
Mailing address:
  • Phone: 507-322-6564
  • Fax: 507-322-6566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCNS 0482
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: