Provider Demographics
NPI:1508584483
Name:DOWIE ARMSTRONG, MIRIAM ALTHEA (NURSING)
Entity Type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:ALTHEA
Last Name:DOWIE ARMSTRONG
Suffix:
Gender:F
Credentials:NURSING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 SW 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:N LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-4330
Mailing Address - Country:US
Mailing Address - Phone:954-588-3127
Mailing Address - Fax:
Practice Address - Street 1:1510 SW 68TH AVE
Practice Address - Street 2:
Practice Address - City:N LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4330
Practice Address - Country:US
Practice Address - Phone:954-588-3127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5189850164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse