Aleta M Dorm, LPN is a
Licensed Practical Nurse based in King George, Virginia. Aleta M Dorm is licensed to practice in Virginia (license number 0002082631) and her current practice location is
11399 Ianthas Way, King George, Virginia. She can be reached at her office (for appointments etc.) via phone at
(717) 318-9681.
NPI number for Aleta M Dorm is 1972019180 and her current mailing address is 11399 Ianthas Way, King George, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972019180.
Provider's Profile
Full Name | Aleta M Dorm |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 11399 Ianthas Way, King George, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972019180
- Provider Enumeration Date: 12/26/2017
- Last Update Date: 12/26/2017
Medical Identifiers
Medical identifiers for Aleta M Dorm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972019180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 0002082631 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aleta M Dorm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Aleta M Dorm, LPN 11399 Ianthas Way, King George, VA 22485-2452 Ph: () - | Aleta M Dorm, LPN 11399 Ianthas Way, King George, VA 22485-2452 Ph: (717) 318-9681 |
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