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NPI Code Detail

MEDICARE: MRS. MARSHA MARIE DOBBERTIN R.N.

MEDICARE:  MRS. MARSHA MARIE DOBBERTIN  R.N.
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
1163WP0200XPediatric Registered NurseRN024969AZ

General Provider Information

NPI Number : 1023158607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARSHA MARIE DOBBERTIN R.N.
Provider Business Mailing Address
First Line : 15017 N 60TH ST
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-2467
Country : US
Telephone Number : 480-945-3011
Fax Number : 480-874-0026
Provider Business Practice Location Address
First Line : 2013 N 36TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-3026
Country : US
Telephone Number : 602-381-6107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MARSHA MARIE DOBBERTIN R.N.” Practice Location

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