Provider Demographics
NPI:1467115543
Name:DOW, NATASHA LYN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:LYN
Last Name:DOW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 DANFORTH ST
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH
Mailing Address - State:MA
Mailing Address - Zip Code:02769-1830
Mailing Address - Country:US
Mailing Address - Phone:401-868-8255
Mailing Address - Fax:
Practice Address - Street 1:44 DANFORTH ST
Practice Address - Street 2:
Practice Address - City:REHOBOTH
Practice Address - State:MA
Practice Address - Zip Code:02769-1830
Practice Address - Country:US
Practice Address - Phone:401-868-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02897363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily