NPI | 1932117512 |
---|---|
Former Name | STEPHANIE JOY DOWDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A178945) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1082) |
363L00000X Nurse Practitioner (Licence: CA 15800) | |
363L00000X Nurse Practitioner (Licence: CA FNP15800) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2024-06-19 |