Provider Demographics
NPI:1225295348
Name:MITCHELL-DOZIER, DEBBIE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:
Last Name:MITCHELL-DOZIER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:DEBBIE
Other - Middle Name:MITCHELL
Other - Last Name:DOZIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:438 POND ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1248
Mailing Address - Country:US
Mailing Address - Phone:857-221-0254
Mailing Address - Fax:617-643-7755
Practice Address - Street 1:750 WASHINGTON ST
Practice Address - Street 2:BOX 391
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1526
Practice Address - Country:US
Practice Address - Phone:857-221-0254
Practice Address - Fax:617-643-7755
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA239446163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology