IndividualActive
Breanna Dolan, FNP-C
NPI 1629549506 · Nurse Practitioner · Ellisville, MO
Provider details
- NPI number
- 1629549506
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2018038474 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16111 Manchester Rd.
Suite 101
Ellisville, MO 63011
Phone: (636) 751-9440
Approximate (ZIP-level) locationGet directions
Mailing address
16111 Manchester Rd.
Ellisville, MO 63011
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.