Provider Demographics
NPI:1225120520
Name:MCDOWELL, DOLORES J (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:DOLORES
Middle Name:J
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 801143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-1143
Mailing Address - Country:US
Mailing Address - Phone:573-331-3000
Mailing Address - Fax:573-331-5073
Practice Address - Street 1:1702 N. KINGSHIGHWAY
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-2122
Practice Address - Country:US
Practice Address - Phone:573-339-0483
Practice Address - Fax:573-339-1876
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO119283363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO595400003Medicaid
MO172160OtherBCBS PROV NUMBER
MO402393OtherHEALTHLINK PROV #
MO402393OtherHEALTHLINK PROV #
MO263912Medicare Oscar/Certification