Provider Demographics
NPI:1912379264
Name:NASBY, DALE ANN (MS, RN, PMHCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:DALE
Middle Name:ANN
Last Name:NASBY
Suffix:
Gender:F
Credentials:MS, RN, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 NORSEMAN CT NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-2430
Mailing Address - Country:US
Mailing Address - Phone:507-322-6564
Mailing Address - Fax:507-322-6566
Practice Address - Street 1:315 ELTON HILLS DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-2988
Practice Address - Country:US
Practice Address - Phone:507-322-6564
Practice Address - Fax:507-322-6566
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNS 0482364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult