Provider Demographics
NPI:1174861868
Name:NEUMAIER, DOLORA ROSALIE (RN BSN)
Entity Type:Individual
Prefix:
First Name:DOLORA
Middle Name:ROSALIE
Last Name:NEUMAIER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 184TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-9420
Mailing Address - Country:US
Mailing Address - Phone:253-840-8808
Mailing Address - Fax:
Practice Address - Street 1:8615 184TH ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-9420
Practice Address - Country:US
Practice Address - Phone:253-840-8808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00055139163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse