Individual ProviderMegan Maria DallmanNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSanford Health Anesthesia Department, 737 Broadway, Fargo, ND 58122-0001(701) 234-5621PECOS EnrollmentBased on the most recent information from CMS, provider Megan Maria Dallman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1336440924Provider TypeIndividualFull NameDallman, Megan MariaCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date11/12/2010Last Updated1/10/2011Contact InformationPractice LocationPractice AddressSanford Health Anesthesia Department, 737 Broadway, Fargo, ND 58122-0001Phone(701) 234-5621FaxUnlisted FaxMailing LocationMailing AddressSanford Health Anesthesia Department, 737 Broadway, Fargo, ND 58122-0001Phone(701) 234-5621FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense085833North DakotaProvider IdentifiersIDDescriptionIssuerID1336440924DescriptionMedicaidIssuerUnlistedMinnesota