Provider Demographics
NPI:1538559968
Name:DORSETT, DEBRA (CNA)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:DORSETT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 COUNTY ROAD 2267
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-1458
Mailing Address - Country:US
Mailing Address - Phone:425-870-2873
Mailing Address - Fax:
Practice Address - Street 1:893 COUNTY ROAD 2267
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-1458
Practice Address - Country:US
Practice Address - Phone:425-870-2873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-22
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1538559968OtherAETNA BETTER HEALTH OF OHIO