Provider Demographics
NPI:1700128618
Name:DOOLEY, DEBORAH MARGARET
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MARGARET
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2788 BELLA VIA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2305
Mailing Address - Country:US
Mailing Address - Phone:614-623-6831
Mailing Address - Fax:614-423-8637
Practice Address - Street 1:2788 BELLA VIA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2305
Practice Address - Country:US
Practice Address - Phone:614-623-6831
Practice Address - Fax:614-423-8637
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN093914164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse