Johnathan Richard Dodson
Nurse Practitioner - Critical Care Medicine
620 Howard Ave
Altoona
, Pennsylvania 16601-4804
Johnathan Richard Dodson
Nurse Practitioner - Critical Care Medicine
620 Howard Ave
Altoona
, Pennsylvania 16601-4804
(814) 312-3120
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Johnathan Richard Dodson
- 1429 Ski Gap Rd
- Claysburg, PA
- Zip : 16625-8018
- Phone : (814) 312-3120
Second Address
- Johnathan Richard Dodson
- 620 Howard Ave
- Altoona, PA
- Zip : 16601-4804
- Phone : (814) 889-2011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP018285 | PA |
National Provider Identifier
| NPI | 1548771751 |
|---|---|
| Provider Name | Johnathan Richard Dodson |
| First Address | Claysburg, PA 16625-8018 |
| Second Address | Altoona, PA 16601-4804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2017 |
| Last Update Date | 08/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.