1225295348 NPI number — MS. DEBBIE MITCHELL-DOZIER REGISTERED NURSE

Table of content: MS. DEBBIE MITCHELL-DOZIER REGISTERED NURSE (NPI 1225295348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225295348 NPI number — MS. DEBBIE MITCHELL-DOZIER REGISTERED NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITCHELL-DOZIER
Provider First Name:
DEBBIE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DOZIER
Provider Other First Name:
DEBBIE
Provider Other Middle Name:
MITCHELL
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
REGISTERED NURSE
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1225295348
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
438 POND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH WEYMOUTH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02190-1248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
857-221-0254
Provider Business Mailing Address Fax Number:
617-643-7755

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 WASHINGTON ST
Provider Second Line Business Practice Location Address:
BOX 391
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02111-1526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
857-221-0254
Provider Business Practice Location Address Fax Number:
617-643-7755
Provider Enumeration Date:
05/16/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WN0300X , with the licence number:  239446 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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