Provider Demographics
NPI:1063960110
Name:DOHNEY, ANNELIESE (RN)
Entity type:Individual
Prefix:
First Name:ANNELIESE
Middle Name:
Last Name:DOHNEY
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 1:700 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:PA
Mailing Address - Zip Code:18810-1430
Mailing Address - Country:US
Mailing Address - Phone:607-351-6048
Mailing Address - Fax:
Practice Address - Street 1:700 2ND ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:PA
Practice Address - Zip Code:18810-1430
Practice Address - Country:US
Practice Address - Phone:607-351-6048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY630674163W00000X
PA687820163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse