Provider Demographics
NPI:1801057989
Name:DORSEY, BRENDA E (RN)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:E
Last Name:DORSEY
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 1:6600 AMBERTON DR
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6216
Mailing Address - Country:US
Mailing Address - Phone:410-579-6789
Mailing Address - Fax:443-703-2331
Practice Address - Street 1:6600 AMBERTON DR
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6216
Practice Address - Country:US
Practice Address - Phone:410-579-6789
Practice Address - Fax:443-703-2331
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR049423163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse