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NPI Code Detail

MEDICARE: CARMELA DOLL FNP-BC

MEDICARE: CARMELA DOLL FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704235557MI

General Provider Information

NPI Number : 1922441088
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMELA DOLL FNP-BC
Provider Business Mailing Address
First Line : 5939 N HURON RD
Second Line :
City : OSCODA
State : MI
Zip : 48750-9710
Country : US
Telephone Number : 989-739-1441
Fax Number : 989-739-6093
Provider Business Practice Location Address
First Line : 5939 N HURON RD
Second Line :
City : OSCODA
State : MI
Zip : 48750-9710
Country : US
Telephone Number : 989-739-1441
Fax Number : 989-739-6093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2013
Last Update Date : 04/06/2021

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Directions to “ CARMELA DOLL FNP-BC” Practice Location

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