Provider Demographics
NPI:1619644499
Name:DOOLEY EDWARDS, HAROLYN (MSN)
Entity Type:Individual
Prefix:MRS
First Name:HAROLYN
Middle Name:
Last Name:DOOLEY EDWARDS
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E RHINEHILL RD SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-7401
Mailing Address - Country:US
Mailing Address - Phone:678-749-5480
Mailing Address - Fax:
Practice Address - Street 1:6305 IVY LN STE 101
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-6326
Practice Address - Country:US
Practice Address - Phone:301-235-0060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN132238163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty