Provider Demographics
NPI:1003142548
Name:HOUSTON-DOW, MAUREEN MARIE (RN,CNOR,RNFA,CLAN)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:MARIE
Last Name:HOUSTON-DOW
Suffix:
Gender:F
Credentials:RN,CNOR,RNFA,CLAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 WARWICK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-4226
Mailing Address - Country:US
Mailing Address - Phone:978-454-3982
Mailing Address - Fax:
Practice Address - Street 1:170 WARWICK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-4226
Practice Address - Country:US
Practice Address - Phone:978-454-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-18
Last Update Date:2009-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA263227364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical