MEDICARE: PATRICIA L DOOLIN APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	3012350	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427549559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA L DOOLIN APRN, FNP-C

Provider Business Mailing Address
First Line	:	902 WESTLAKE DR STE 101
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1149
Country	:	US
Telephone Number	:	270-384-0451
Fax Number	:	270-384-0454

Provider Business Practice Location Address
First Line	:	902 WESTLAKE DR STE 101
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1149
Country	:	US
Telephone Number	:	270-384-0451
Fax Number	:	270-384-0454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	03/01/2023

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