Provider Demographics
NPI:1811705429
Name:DOLAN, BETH ANNE
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:DOLAN
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 1:217 E CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NE
Mailing Address - Zip Code:68959-2305
Mailing Address - Country:US
Mailing Address - Phone:308-293-2470
Mailing Address - Fax:
Practice Address - Street 1:217 E CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NE
Practice Address - Zip Code:68959-2305
Practice Address - Country:US
Practice Address - Phone:308-293-2470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion