Provider Demographics
NPI:1821671439
Name:VAN DOLSON, ORIONA (CPM-TN)
Entity Type:Individual
Prefix:MRS
First Name:ORIONA
Middle Name:
Last Name:VAN DOLSON
Suffix:
Gender:F
Credentials:CPM-TN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9469 DAVID SMITH LN STE 113
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-7207
Mailing Address - Country:US
Mailing Address - Phone:423-653-1857
Mailing Address - Fax:423-498-9657
Practice Address - Street 1:9469 DAVID SMITH LN STE 113
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-7207
Practice Address - Country:US
Practice Address - Phone:423-653-1857
Practice Address - Fax:423-498-9657
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-01
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN105176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife