Provider Demographics
NPI:1366593105
Name:DOBIES, NANCY JEAN (LMP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JEAN
Last Name:DOBIES
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 N RAINIER AVE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-2931
Mailing Address - Country:US
Mailing Address - Phone:360-479-5972
Mailing Address - Fax:360-377-4111
Practice Address - Street 1:532 5TH ST STE 1
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98337-1403
Practice Address - Country:US
Practice Address - Phone:360-377-6457
Practice Address - Fax:360-377-4111
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA008984174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist