Healthcare Provider Details

I. General information

NPI: 1326528514
Provider Name (Legal Business Name): MARIA MICHELE DOTSEY APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA MICHELE DOTSEY APRN, PMHNP-BC

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST STE R
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

7414 WINDSTREAM CIR APT 205
HANOVER MD
21076-5065
US

V. Phone/Fax

Practice location:
  • Phone: 888-454-1606
  • Fax:
Mailing address:
  • Phone: 267-438-4038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR234697
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR234697
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: