Provider Demographics
NPI:1558026799
Name:DOWLING, MAILYN FLORES (RN)
Entity Type:Individual
Prefix:
First Name:MAILYN
Middle Name:FLORES
Last Name:DOWLING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 STEAMBOAT LOOP E
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-4856
Mailing Address - Country:US
Mailing Address - Phone:503-839-1589
Mailing Address - Fax:360-602-0833
Practice Address - Street 1:4638 CHANTING CIR SW
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98367-6225
Practice Address - Country:US
Practice Address - Phone:360-519-3589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600152163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse