Dooley, Gwendolyn L
Dooley, Gwendolyn L is an individual health care provider with primary practice located at 501 E Hampden Ave , Englewood CO 80113-2702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dooley, Gwendolyn L can be contacted via phone (303) 761-9190.Contact Information
Primary practice address
501 E Hampden Ave
Englewood CO 80113-2702
Phone: (303) 761-9190
Fax: (720) 874-4462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 160755 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 160755 | Colorado |
Profile Details
| NPI number | 1508914888 |
|---|---|
| LBN Legal business name | Dooley, Gwendolyn L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Apr 10th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508914888 | NPPES |
| Colorado | MEDICAID | 61209066 | |
| Colorado | MEDICAID | 1508914888 | |
| Colorado | MEDICAID | 84059792913 | |
| Colorado | MEDICAID | 1508914888 |
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