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NPI Code Detail

MEDICARE: MRS. ALICIA RENEE DOBRANSKI WHNP-BC

MEDICARE:  MRS. ALICIA RENEE DOBRANSKI  WHNP-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
1363LW0102XWomen's Health Nurse Practitioner52470WV

General Provider Information

NPI Number : 1487912424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA RENEE DOBRANSKI WHNP-BC
Provider Business Mailing Address
First Line : 1000 J D ANDERSON DR
Second Line : SUITE 402
City : MORGANTOWN
State : WV
Zip : 26505-1241
Country : US
Telephone Number : 304-599-6811
Fax Number :
Provider Business Practice Location Address
First Line : 1000 J D ANDERSON DR
Second Line : SUITE 402
City : MORGANTOWN
State : WV
Zip : 26505-1241
Country : US
Telephone Number : 304-599-6811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2012
Last Update Date : 04/27/2012

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Directions to “ MRS. ALICIA RENEE DOBRANSKI WHNP-BC” Practice Location

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