Provider Demographics
NPI:1164073912
Name:DORSEY, JOYCE MARIAH
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MARIAH
Last Name:DORSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5817 AQUA VERDE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-3569
Mailing Address - Country:US
Mailing Address - Phone:702-466-7187
Mailing Address - Fax:702-399-8035
Practice Address - Street 1:5817 AQUA VERDE ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-3569
Practice Address - Country:US
Practice Address - Phone:702-466-7187
Practice Address - Fax:702-399-8035
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide