Provider Demographics
NPI:1134629454
Name:DOHSE, EILEEN FLORENCE (RN)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:FLORENCE
Last Name:DOHSE
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 1:1326 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-6213
Mailing Address - Country:US
Mailing Address - Phone:480-966-9934
Mailing Address - Fax:480-968-3165
Practice Address - Street 1:1326 W 18TH ST
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-6213
Practice Address - Country:US
Practice Address - Phone:480-966-9934
Practice Address - Fax:480-968-3165
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN081535163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool