Provider Demographics
NPI:1932823002
Name:NOLAN, COLLEEN (POSTPARTUM DOULA)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:POSTPARTUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-3803
Mailing Address - Country:US
Mailing Address - Phone:917-975-2090
Mailing Address - Fax:
Practice Address - Street 1:1010 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-3803
Practice Address - Country:US
Practice Address - Phone:917-975-2090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula