Provider Demographics
NPI:1437025970
Name:DOWELL, MIRANDA MARIE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:MARIE
Last Name:DOWELL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 HANK BLVD
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72616-8834
Mailing Address - Country:US
Mailing Address - Phone:501-690-3145
Mailing Address - Fax:
Practice Address - Street 1:1312 HANK BLVD
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72616-8834
Practice Address - Country:US
Practice Address - Phone:501-690-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR234991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily