Aaliyah Camille Dorsey-brown, FNP | |
2000 E Layton Ave, St Francis, WI 53235-6053 | |
(414) 744-6589 | |
Not Available |
Full Name | Aaliyah Camille Dorsey-brown |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2000 E Layton Ave, St Francis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700400488 | NPI | - | NPPES |
100268772 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 9980-33 (Wisconsin) | Primary |
Entity Name | Lakeshore Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
---|---|
Aaliyah Camille Dorsey-brown, FNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Aaliyah Camille Dorsey-brown, FNP 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-6589 |
Karin Lee Wasiullah, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Choua Yang Vang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-7880 | |
Krystle K Stolzel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Ryanne Edwards, APNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Alison Marie Damato, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Hayley R Demario, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-294-4516 | |
Ms. Mary Ellen I Sorensen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 E Layton Ave, #100, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 |