Provider Demographics
NPI:1326713371
Name:DORSEY, NICOLE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:DORSEY
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 1:5809 TURNING LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-7346
Mailing Address - Country:US
Mailing Address - Phone:513-404-7033
Mailing Address - Fax:
Practice Address - Street 1:2170 STRUBLE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1736
Practice Address - Country:US
Practice Address - Phone:513-728-7651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.434795163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool