Individual
JUDITH CAROLE DOLAN
Active
Individual
JUDITH CAROLE DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN529382
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA3081
STATE LICENSE
CA
01
—
RN529382
STATE LICENSE
CA
Enumeration date
07/11/2006
Last updated
12/30/2021
Update your record
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