Individual
MERCEDES L DOCKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1006 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 267-0556
(304) 267-1460
Mailing address
70 BRIGHT CHERRY CT, MARTINSBURG, WV 25403-7302
(304) 283-4758
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001204998
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
60274
WV
367500000X
Certified Registered Nurse Anesthetist
AC002386
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010071
—
WV
Enumeration date
03/20/2007
Last updated
08/01/2020
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