Provider Demographics
NPI:1194535336
Name:ABBEY, DOROTHY NAI
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:NAI
Last Name:ABBEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15202 N 40TH ST APT 182
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4656
Mailing Address - Country:US
Mailing Address - Phone:859-380-3189
Mailing Address - Fax:
Practice Address - Street 1:15202 N 40TH ST APT 182
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4656
Practice Address - Country:US
Practice Address - Phone:859-380-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2024041588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily