Provider Demographics
NPI:1891409421
Name:BOBBETT, DOLLY ANN (RN)
Entity Type:Individual
Prefix:
First Name:DOLLY ANN
Middle Name:
Last Name:BOBBETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 STOVER ST APT 285
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4544
Mailing Address - Country:US
Mailing Address - Phone:402-707-5503
Mailing Address - Fax:
Practice Address - Street 1:3501 STOVER ST APT 285
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4544
Practice Address - Country:US
Practice Address - Phone:402-707-5503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1674260163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management