Dallas Lane Earnshaw
APRN, CNS, BC | Nurse Practitioner - Psych/Mental Health | 28+ years Exp
750 N Freedom Blvd, Provo
Utah, 84601-1677
801-373-4760
Dallas Lane Earnshaw is a Provo, Utah based nurse practitioner with 28 years of experience as Psych/Mental Health NP. He completed his graduation in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dallas Lane Earnshaw is 212165-4405 for Psych/Mental Health NP in Utah. His current practice location is 750 N Freedom Blvd, Provo. Patients can reach him at 801-373-4760. Dallas Lane Earnshaw is APRN, CNS, BC with specialization in Psych/Mental Health NP and his NPI number (Unique professional ID assigned by NPPES) is 1780777649.
Dallas Lane Earnshaw provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Dallas Lane Earnshaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dallas Lane Earnshaw |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Male |
| Credentials: | APRN, CNS, BC |
| Experience: | 28+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1998 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 750 N Freedom Blvd, Provo,
Utah, 84601-1677 |
| Phone: | 801-373-4760 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9032148994 |
| Enrollment ID: | I20050810001103 |
| NPI Number: | 1780777649 |
| NPI Enumeration Date: | 02 Oct, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dallas Lane Earnshaw are as mentioned below.
| License Number | Specialization | State | Status | |
| 212165-4405 | Psych/Mental Health NP | Utah | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dallas Lane Earnshaw is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Wasatch Behavioral Health Special Service District (2567367915) | 46 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dallas Lane Earnshaw
750 N Freedom Blvd,
Provo, Utah |
| Zip: | 84601-1677 |
| Phone Number: | 801-373-4760 |
Patients can reach Dallas Lane Earnshaw at
750 N Freedom Blvd, Provo, Utah or can
call to book an appointment on 801-373-4760.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.