Doctor Name: | MS. MICHELLE L DORSEY |
NPI Number: | 1013241454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA054128 |
Business Practice Address: | 1840 F St Geneva, NE - 683612211 |
Business Phone Number: | 4027594485 |
Business Fax Number: | 4027594487 |
Mailing Address: | 1840 F St, GENEVA |
State: | NE |
Postal Code: | 683612211 |
Phone Number: | 4027594485 |
Fax Number: | 4027594487 |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA054128 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |