Provider Demographics
NPI:1144475757
Name:DULANEY, DOLORES J (RN)
Entity type:Individual
Prefix:MS
First Name:DOLORES
Middle Name:J
Last Name:DULANEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 WAYNE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-5414
Mailing Address - Country:US
Mailing Address - Phone:937-878-8896
Mailing Address - Fax:
Practice Address - Street 1:315 WAYNE DR
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-5414
Practice Address - Country:US
Practice Address - Phone:937-878-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 214242163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse