Individual
MARY ELLEN DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,RN, APRN, GNP-BC
Contact information
Practice address
13 DEER RUN, SPARTA, NJ 07871-2910
(973) 903-6765
Mailing address
13 DEER RUN, SPARTA, NJ 07871-2910
(973) 903-6765
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NN08271800
NJ
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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