Provider Demographics
NPI:1811263379
Name:DOLCINI, DENISE (LVN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:DOLCINI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S LEXINGTON DR
Mailing Address - Street 2:#214
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-7018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 S LEXINGTON DR
Practice Address - Street 2:#214
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-7018
Practice Address - Country:US
Practice Address - Phone:916-548-9525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN237900164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse