Provider Demographics
NPI:1427879873
Name:EWUSIE, DOROTHY (RN)
Entity type:Individual
Prefix:MISS
First Name:DOROTHY
Middle Name:
Last Name:EWUSIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8107 LAUGHING FALCON TRL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77385-1112
Mailing Address - Country:US
Mailing Address - Phone:936-788-3369
Mailing Address - Fax:
Practice Address - Street 1:8107 LAUGHING FALCON TRL
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77385-1112
Practice Address - Country:US
Practice Address - Phone:936-788-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX861843163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse