Provider Demographics
NPI:1629196092
Name:DOWDALL, DOLORES ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:DOLORES
Middle Name:ANN
Last Name:DOWDALL
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 1:820 VIRGINIA ST
Mailing Address - Street 2:#204 BLDG 10
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-6767
Mailing Address - Country:US
Mailing Address - Phone:727-736-3177
Mailing Address - Fax:
Practice Address - Street 1:7402 N 56TH ST
Practice Address - Street 2:SUITE 906
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-7733
Practice Address - Country:US
Practice Address - Phone:727-536-4119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9163632163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse