Provider Demographics
NPI:1306219852
Name:DORCE, ROSENIE (MSN, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ROSENIE
Middle Name:
Last Name:DORCE
Suffix:
Gender:F
Credentials:MSN, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 CHRISTENSEN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2957
Mailing Address - Country:US
Mailing Address - Phone:206-825-2904
Mailing Address - Fax:206-212-8238
Practice Address - Street 1:16000 CHRISTENSEN RD STE 110
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2957
Practice Address - Country:US
Practice Address - Phone:206-825-2904
Practice Address - Fax:206-212-8238
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2023-06-08
Deactivation Date:2023-05-09
Deactivation Code:
Reactivation Date:2023-06-08
Provider Licenses
StateLicense IDTaxonomies
MACNP2266768363LP0808X
WAAP60877568363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health