Provider Demographics
NPI:1073579389
Name:DOLAN-LEE, ROSEMARIE (CFNP)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:DOLAN-LEE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:T
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:133 ORNAC
Mailing Address - Street 2:EMERSON HOSPITAL CREDENTIALS
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-287-3018
Mailing Address - Fax:978-287-3122
Practice Address - Street 1:133 ORNAC
Practice Address - Street 2:EMERSON HOSPITAL NORTH 5
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-369-1400
Practice Address - Fax:978-287-3391
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP2708OtherBLUE CROSS
MA93088OtherFALLON HP
P15458Medicare UPIN
MA93088OtherFALLON HP