Provider Demographics
NPI:1154196327
Name:NAKAWOOYA, DOROTHY (CNA /HHA)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:NAKAWOOYA
Suffix:
Gender:F
Credentials:CNA /HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2547 164TH ST E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-4520
Mailing Address - Country:US
Mailing Address - Phone:210-810-2977
Mailing Address - Fax:
Practice Address - Street 1:2547 164TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-4520
Practice Address - Country:US
Practice Address - Phone:210-810-2977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC61005749376K00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide