Provider Demographics
NPI:1992765903
Name:DOLES, DIANE ELAINE (ARNP)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:ELAINE
Last Name:DOLES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S. COLUMBIAN WAY
Mailing Address - Street 2:SEATTLE VA MEDICAL CENTER, S-111-PCC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-0000
Mailing Address - Country:US
Mailing Address - Phone:206-699-3600
Mailing Address - Fax:206-764-2936
Practice Address - Street 1:1660 SOUTH COLUMBIAN WAY
Practice Address - Street 2:SEATTLE VA MEDICAL CENTER, S-111-PCC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-0000
Practice Address - Country:US
Practice Address - Phone:206-699-3600
Practice Address - Fax:206-764-2936
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003424163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care