Provider Demographics
NPI:1295366227
Name:DORAN, DENISE ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANN
Last Name:DORAN
Suffix:
Gender:F
Credentials:RN
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Other - Suffix:
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Mailing Address - Street 1:125 SARLES LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-1921
Mailing Address - Country:US
Mailing Address - Phone:914-980-0050
Mailing Address - Fax:
Practice Address - Street 1:1075 BROADWAY
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2346
Practice Address - Country:US
Practice Address - Phone:914-741-4516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY508938163WP0200X
NYF333145363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics