Provider Demographics
NPI:1003114513
Name:DOOLEY, MARTHA M (MSN RN CNS)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:M
Last Name:DOOLEY
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Gender:F
Credentials:MSN RN CNS
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Mailing Address - Street 1:120 SOUTH 30TH ST.
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-386-5128
Mailing Address - Fax:215-382-3626
Practice Address - Street 1:120 S 30TH ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3403
Practice Address - Country:US
Practice Address - Phone:215-386-5128
Practice Address - Fax:215-382-3626
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN229829L364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult