Provider Demographics
NPI:1942063722
Name:DORSETT, ASHLEY (CNP, CD, CLE)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:DORSETT
Suffix:
Gender:F
Credentials:CNP, CD, CLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 63RD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1259
Mailing Address - Country:US
Mailing Address - Phone:510-350-6648
Mailing Address - Fax:
Practice Address - Street 1:1066 63RD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94608-1259
Practice Address - Country:US
Practice Address - Phone:510-350-6648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula