Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
WANDA L DOLES
Active
Individual
WANDA L DOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMS
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314525
—
OH
05
—
2864002
—
OH
Enumeration date
06/27/2018
Last updated
06/27/2018
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