Provider Demographics
NPI:1407490451
Name:DOSTER, EMILY A (RN)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:A
Last Name:DOSTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 HAMILTON CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-1206
Mailing Address - Country:US
Mailing Address - Phone:419-494-1815
Mailing Address - Fax:
Practice Address - Street 1:856 HAMILTON CT
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-1206
Practice Address - Country:US
Practice Address - Phone:419-494-1815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-03
Last Update Date:2019-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH368480163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse