Provider Demographics
NPI:1275865370
Name:DORSEY, BRYNNMARIE FARRELL (CRNP)
Entity Type:Individual
Prefix:
First Name:BRYNNMARIE
Middle Name:FARRELL
Last Name:DORSEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 W CHEW ST
Mailing Address - Street 2:MUHLENBERG COLLEGE HEALTH SERVICES
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5564
Mailing Address - Country:US
Mailing Address - Phone:484-664-3199
Mailing Address - Fax:484-664-3522
Practice Address - Street 1:2400 W CHEW ST
Practice Address - Street 2:MUHLENBERG COLLEGE HEALTH SERVICES
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5564
Practice Address - Country:US
Practice Address - Phone:484-664-3199
Practice Address - Fax:484-664-3522
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006277B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily