Healthcare Provider Details

I. General information

NPI: 1477402543
Provider Name (Legal Business Name): BRIAN PATRICK DOLAN RN,BSN, RNFA, CNOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 FARM RD
WAYNE PA
19087-3303
US

IV. Provider business mailing address

315 KENT RD
SPRINGFIELD PA
19064-3301
US

V. Phone/Fax

Practice location:
  • Phone: 309-531-0220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN638705
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: