Provider Demographics
NPI:1396466124
Name:DOLAN, ROBIN MICHELE (MASTERS OF EDUCATION)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MICHELE
Last Name:DOLAN
Suffix:
Gender:F
Credentials:MASTERS OF EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-5927
Mailing Address - Country:US
Mailing Address - Phone:304-746-2918
Mailing Address - Fax:
Practice Address - Street 1:617 S OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-5927
Practice Address - Country:US
Practice Address - Phone:304-746-2918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant