Provider Demographics
NPI:1306067707
Name:DORSEY, DALE ANN (RNP-C)
Entity type:Individual
Prefix:MRS
First Name:DALE
Middle Name:ANN
Last Name:DORSEY
Suffix:
Gender:F
Credentials:RNP-C
Other - Prefix:
Other - First Name:DALE
Other - Middle Name:ANN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7514 E MONTEREY WAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6900
Mailing Address - Country:US
Mailing Address - Phone:480-421-9938
Mailing Address - Fax:480-429-2354
Practice Address - Street 1:7514 E MONTEREY WAY
Practice Address - Street 2:SUITE 3
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6900
Practice Address - Country:US
Practice Address - Phone:480-421-9938
Practice Address - Fax:480-429-2354
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2646363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP2646OtherADVANCED PRACTICE LICENSE
AZ275929Medicaid
AZAP2646OtherADVANCED PRACTICE LICENSE