Individual
DOLORES L. COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4201 MITCHELLVILLE RD, SUITE 102, BOWIE, MD 20716-3163
(410) 741-9000
(410) 741-0865
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 379-3591
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP-00992
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
R171311
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20229423
—
OH
01
—
N611874
CDS
MD
Enumeration date
01/15/2007
Last updated
03/07/2023
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