MEDICARE: EILEEN MARGARET NOLAN MD

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	390200000X	Student in an Organized Health Care Education/Training Program		NC

General Provider Information

NPI Number	:	1679403695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN MARGARET NOLAN MD

Provider Business Mailing Address
First Line	:	PEDIATRIC EDUCATION OFFICE
Second Line	:	CAMPUS BOX 7593
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7593
Country	:	US
Telephone Number	:	919-966-3172
Fax Number	:	919-966-8419

Provider Business Practice Location Address
First Line	:	6013 FARRINGTON RD STE 301
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-8173
Country	:	US
Telephone Number	:	984-974-9609
Fax Number	:

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	06/23/2026

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