Provider Demographics
NPI:1295311306
Name:DOLAN, ERINN L (BSN)
Entity type:Individual
Prefix:
First Name:ERINN
Middle Name:L
Last Name:DOLAN
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MILES ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3241
Mailing Address - Country:US
Mailing Address - Phone:413-774-3321
Mailing Address - Fax:413-774-3345
Practice Address - Street 1:50 MILES ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3241
Practice Address - Country:US
Practice Address - Phone:413-774-3321
Practice Address - Fax:413-774-3345
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN195564163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)