Provider Demographics
NPI:1932934163
Name:CURTIS, DORTHY MAE
Entity type:Individual
Prefix:
First Name:DORTHY
Middle Name:MAE
Last Name:CURTIS
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 1:469 PERRY ABLES HOLW
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WV
Mailing Address - Zip Code:26452-7160
Mailing Address - Country:US
Mailing Address - Phone:304-871-9312
Mailing Address - Fax:
Practice Address - Street 1:469 PERRY ABLES HOLW
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WV
Practice Address - Zip Code:26452-7160
Practice Address - Country:US
Practice Address - Phone:304-871-9312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant