Provider Demographics
NPI:1366126310
Name:DORADO, NADINE
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:DORADO
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 1:104 HACKBERRY LN
Mailing Address - Street 2:
Mailing Address - City:DINGMANS FERRY
Mailing Address - State:PA
Mailing Address - Zip Code:18328-4328
Mailing Address - Country:US
Mailing Address - Phone:201-914-4156
Mailing Address - Fax:
Practice Address - Street 1:104 HACKBERRY LN
Practice Address - Street 2:
Practice Address - City:DINGMANS FERRY
Practice Address - State:PA
Practice Address - Zip Code:18328-4328
Practice Address - Country:US
Practice Address - Phone:201-914-4156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP08081900164W00000X
NY347029164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse