Provider Demographics
NPI:1922876952
Name:DOLDER, CARSON ELAINE (RNFA)
Entity Type:Individual
Prefix:
First Name:CARSON
Middle Name:ELAINE
Last Name:DOLDER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:CARSON
Other - Middle Name:ELAINE
Other - Last Name:JARRARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:802 KENYON RD
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-5740
Mailing Address - Country:US
Mailing Address - Phone:515-408-7865
Mailing Address - Fax:
Practice Address - Street 1:802 KENYON RD
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-5740
Practice Address - Country:US
Practice Address - Phone:515-408-7865
Practice Address - Fax:515-574-6497
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA162897163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant