Provider Demographics
NPI:1255669503
Name:DOLAN, NOREEN ANN (NP-C)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:ANN
Last Name:DOLAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:BOX 266
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-5594
Mailing Address - Fax:617-636-7616
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:BOX 266
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5594
Practice Address - Fax:617-636-7616
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA147089363LF0000X
MARN147089363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily