Provider Demographics
NPI:1306177563
Name:TEMBEI, DOROTHY N (RN)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:N
Last Name:TEMBEI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DOROTHY
Other - Middle Name:N
Other - Last Name:TEMBEI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2648 QUARTZ RD
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-4934
Mailing Address - Country:US
Mailing Address - Phone:608-381-2005
Mailing Address - Fax:
Practice Address - Street 1:2648 QUARTZ RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-4934
Practice Address - Country:US
Practice Address - Phone:608-381-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI148379-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health