Provider Demographics
NPI:1255737359
Name:DOHLMAN, ANDREA CORINNE (APRN)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CORINNE
Last Name:DOHLMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6084
Mailing Address - Country:US
Mailing Address - Phone:314-364-4200
Mailing Address - Fax:479-338-4607
Practice Address - Street 1:3333 S PINNACLE HILLS PKWY
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-9100
Practice Address - Country:US
Practice Address - Phone:479-338-4600
Practice Address - Fax:479-338-4607
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS53-76531-031364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health