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NPI Code Detail

MEDICARE: MS. HEIDI LYNN DORSEY PMHNP-BC

MEDICARE: MS. HEIDI LYNN DORSEY PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR197274MD
2363LP0808XPsychiatric/Mental Health Nurse Practitioner29369SC

General Provider Information

NPI Number : 1336838648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEIDI LYNN DORSEY PMHNP-BC
Provider Business Mailing Address
First Line : 7688 ANVIL DR
Second Line :
City : FREDERICK
State : MD
Zip : 21701-8905
Country : US
Telephone Number : 443-289-5575
Fax Number :
Provider Business Practice Location Address
First Line : 3600 FOREST DR STE 302
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-4057
Country : US
Telephone Number : 843-501-1099
Fax Number : 843-405-2040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 12/01/2025

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Directions to “ MS. HEIDI LYNN DORSEY PMHNP-BC” Practice Location

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