Provider Demographics
NPI:1285207043
Name:DOLOR, GLADYS PASCUAL (APRN)
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:PASCUAL
Last Name:DOLOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 SMOKERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-9172
Mailing Address - Country:US
Mailing Address - Phone:775-554-4523
Mailing Address - Fax:
Practice Address - Street 1:1535 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4654
Practice Address - Country:US
Practice Address - Phone:775-445-7500
Practice Address - Fax:775-883-3395
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV843213363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner