Healthcare Provider Details

I. General information

NPI: 1225295348
Provider Name (Legal Business Name): DEBBIE MITCHELL-DOZIER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBBIE MITCHELL DOZIER REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 07/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 WASHINGTON ST BOX 391
BOSTON MA
02111-1526
US

IV. Provider business mailing address

438 POND ST
SOUTH WEYMOUTH MA
02190-1248
US

V. Phone/Fax

Practice location:
  • Phone: 857-221-0254
  • Fax: 617-643-7755
Mailing address:
  • Phone: 857-221-0254
  • Fax: 617-643-7755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number239446
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: