Provider Demographics
NPI:1467421461
Name:DOWD, PAMELA L (NP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
Last Name:DOWD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:601 JOHN ST
Mailing Address - Street 2:SUITE M351
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5341
Mailing Address - Country:US
Mailing Address - Phone:269-341-8786
Mailing Address - Fax:269-341-8984
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:SUITE M351
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-341-8786
Practice Address - Fax:269-341-8984
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704176493363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1467421461Medicaid
MI4720180Medicaid
5008750830OtherBCBS
MI1003822412OtherBCBSM - BRONSON
MI1467421461Medicaid