Provider Demographics
NPI:1497021778
Name:MCDOWELL, HANNAH MARIE (LPN)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:MARIE
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:HANNAH
Other - Middle Name:MARIE
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:S5239 OPEN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-9539
Mailing Address - Country:US
Mailing Address - Phone:608-434-8896
Mailing Address - Fax:
Practice Address - Street 1:S5239 OPEN VIEW RD
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-9539
Practice Address - Country:US
Practice Address - Phone:608-434-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI315297-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse