Provider Demographics
NPI:1093082943
Name:DOWNEY, COLLEEN (TD)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:TD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9341 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1143
Mailing Address - Country:US
Mailing Address - Phone:317-696-5493
Mailing Address - Fax:
Practice Address - Street 1:9341 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1143
Practice Address - Country:US
Practice Address - Phone:317-696-5493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula