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BREANNA DOLAN FNP-C
NPI 1629549506
Nurse Practitioner in Ellisville, MO

Active since December 17, 2018
16111 MANCHESTER RD., SUITE 101, ELLISVILLE, MO 63011(636) 751-9440 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2022, Dec 17, 2018 (2 updates tracked since 2018).

About Breanna Dolan Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA DOLAN FNP-C (NPI 1629549506) is an individual nurse practitioner in Ellisville, Missouri, licensed in Missouri (2018038474) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1629549506
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBREANNA DOLANCredential: FNP-C
Location Address16111 MANCHESTER RD., SUITE 101Ellisville, MO 63011
Mailing Address16111 Manchester Rd., Suite 101Ellisville, MO 63011 · (636) 751-9440
Phone(636) 751-9440
Sole ProprietorNo
Enumeration DateDecember 17, 2018
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1629549506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2018038474
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
16111 MANCHESTER RD., Ellisville, MO 63011
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Other Names 1

Former Name (1)Breanna Wheeler Fnp-c

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Dolan's NPI number?

The NPI number for Breanna Dolan is 1629549506. It was assigned to this individual provider in the NPPES registry on December 17, 2018. The provider is also known as Breanna Wheeler Fnp-C.

Where is Breanna Dolan located?

Breanna Dolan practices at 16111 Manchester Rd. Suite 101, Ellisville, MO 63011. The listed phone number is (636) 751-9440.

What is Breanna Dolan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Breanna Dolan was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.