Provider Demographics
NPI:1780470773
Name:DOBSON, MIRIAM ONEIDA (RN)
Entity type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:ONEIDA
Last Name:DOBSON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11018 BALDWIN DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-9760
Mailing Address - Country:US
Mailing Address - Phone:240-217-7196
Mailing Address - Fax:
Practice Address - Street 1:11018 BALDWIN DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-9760
Practice Address - Country:US
Practice Address - Phone:240-217-7196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD159445163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health