Provider Demographics
NPI:1639105398
Name:ANN M DOLL MIDWIFERY SERVICES PLLC
Entity type:Organization
Organization Name:ANN M DOLL MIDWIFERY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DOLL
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:406-453-1008
Mailing Address - Street 1:910 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-2606
Mailing Address - Country:US
Mailing Address - Phone:406-453-1008
Mailing Address - Fax:
Practice Address - Street 1:910 1ST AVE N
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-2606
Practice Address - Country:US
Practice Address - Phone:406-453-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT22029363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty