Individual
MRS. THERESA MARIE NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
207 W. LEGION RD., BRAWLEY, CA 92227-7780
(760) 351-3288
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN587936
CA
367500000X
Certified Registered Nurse Anesthetist
CRNA0805
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4138
CA
Other
Enumeration date
11/17/2011
Last updated
03/08/2016
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