Provider Demographics
NPI:1871991430
Name:MCKEE, DOROTHY YVONNE (APRN)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:YVONNE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:YVONNE
Other - Last Name:HOOTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 26666
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:505-923-5361
Mailing Address - Fax:
Practice Address - Street 1:1400 CHAMA AVE
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-3372
Practice Address - Country:US
Practice Address - Phone:505-988-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127110363LF0000X
OKM0137300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily