Doctor Name: | MRS. STELLA DELORES DOLGNER |
NPI Number: | 1255381836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | AP30000641 |
Business Practice Address: | 529 Jasmine St Omak, WA - 988419589 |
Business Phone Number: | 5098261600 |
Business Fax Number: | 5098263633 |
Mailing Address: | Po Box 3188, OMAK |
State: | WA |
Postal Code: | 988413188 |
Phone Number: | 5098261600 |
Fax Number: | 5098263633 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | AP30000641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |