Individual
MS. MARLENE MARIE DOLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
289 WINDHAM RD, WILLIMANTIC, CT 06226-3528
(860) 465-2650
Mailing address
289 WINDHAM RD, WILLIMANTIC, CT 06226-3528
(860) 465-2650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
004812
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4812
CT
Other
Enumeration date
12/20/2011
Last updated
11/03/2023
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