Individual provider · Type 1 NPI
Dennis Matthew Dolan, CRNA, APRN, PMHNP-S
Nurse Practitioner · Clearwater, FL
Practice location
4625 E Bay Dr Ste 103
Clearwater, FL 33764-6866
Fax (866) 693-2298
Mailing address
119 Mandolin Dr
Winter Haven, FL 33884-3581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9493678 (FL) |
| Nurse Practitioner Primary | 363L00000X | APRN9493678 (FL) |
| Anesthesiology Physician | 207L00000X | APRN9493678 (FL) |
| Certified Registered Nurse Anesthetist | 367500000X | 3732A (KY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1083773311
Dennis Matthew Dolan, CRNA, APRN, PMHNP-S's National Provider Identifier is 1083773311, issued on Dec 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clearwater, FL. The record was last updated on May 22, 2026.