Alice Mae Dozzi, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Braddock, PA

NPI 1366450694 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366450694
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
RN162687L (PA)
Practice address
400 Holland Ave
Braddock, PA 15104-1599
Phone
(412) 636-5612
Fax
(412) 636-5689
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN162687L PA Yes

Addresses

Primary practice location

400 Holland Ave
Braddock, PA 15104-1599

Mailing address

5859 Saltsburg Rd
Verona, PA 15147-3311
Phone (412) 793-0802

Other identifiers

IdentifierTypeStateIssuer
RN162687LOtherPARN LICENSE
021489OtherNATIONAL CRNA #

Other names

  • Miss Alice Mae Wilson Former name

Other providers in Braddock, PA

All providers in Braddock, PA · Certified Registered Nurse Anesthetist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.