Provider Demographics
NPI:1487912424
Name:DOBRANSKI, ALICIA RENEE (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:RENEE
Last Name:DOBRANSKI
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 J D ANDERSON DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-1241
Mailing Address - Country:US
Mailing Address - Phone:304-599-6811
Mailing Address - Fax:
Practice Address - Street 1:1000 J D ANDERSON DR
Practice Address - Street 2:SUITE 402
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-1241
Practice Address - Country:US
Practice Address - Phone:304-599-6811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV52470363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health