Provider Demographics
NPI:1497894299
Name:MCDOWELL, LINDA (RN, MSN, NP, CMT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:RN, MSN, NP, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7714 GEORGIAN DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4495
Mailing Address - Country:US
Mailing Address - Phone:202-877-9176
Mailing Address - Fax:202-877-7190
Practice Address - Street 1:7714 GEORGIAN DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4495
Practice Address - Country:US
Practice Address - Phone:202-877-9176
Practice Address - Fax:202-877-7190
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR108742363LF0000X
MDM03263174400000X
DCRN52505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No174400000XOther Service ProvidersSpecialist