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NPI Code Detail

MEDICARE: ALLISON ROSE DOLAN DNP, APN-CRNA

MEDICARE: ALLISON ROSE DOLAN DNP, APN-CRNA
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
1367500000XCertified Registered Nurse Anesthetist26NJ14859300NJ

General Provider Information

NPI Number : 1194402131
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ROSE DOLAN DNP, APN-CRNA
Provider Business Mailing Address
First Line : 109 JACKSON ST APT 2F
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-6076
Country : US
Telephone Number : 610-698-4041
Fax Number :
Provider Business Practice Location Address
First Line : 355 GRAND ST
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-4321
Country : US
Telephone Number : 201-915-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2023
Last Update Date : 05/14/2026

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