Individual
CASEY JEAN DOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
190132-8
MN
163WC0200X
Critical Care Medicine Registered Nurse
220092-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
1036120
TX
Other
Enumeration date
08/09/2017
Last updated
04/08/2022
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