Individual
ANN MARIE DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1692
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1692
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
22029
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4307664
—
MT
Enumeration date
05/04/2006
Last updated
06/29/2012
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