Provider Demographics
NPI:1184089815
Name:DOCHER, ALYSIA
Entity type:Individual
Prefix:
First Name:ALYSIA
Middle Name:
Last Name:DOCHER
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 1:350 TAYLOR ST NE
Mailing Address - Street 2:22Q
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1535
Mailing Address - Country:US
Mailing Address - Phone:202-750-7880
Mailing Address - Fax:
Practice Address - Street 1:350 TAYLOR ST NE
Practice Address - Street 2:22Q
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1535
Practice Address - Country:US
Practice Address - Phone:202-750-7880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC372600000X, 3747P1801X, 374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide