Provider Demographics
NPI:1659939650
Name:DOWLING, AMY G (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:G
Last Name:DOWLING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9008 BLACK CHERRY TRL
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-2361
Mailing Address - Country:US
Mailing Address - Phone:912-536-1274
Mailing Address - Fax:
Practice Address - Street 1:6005 DELMONICO DR STE 150
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-2264
Practice Address - Country:US
Practice Address - Phone:719-266-5244
Practice Address - Fax:719-466-8754
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-174716363L00000X
CORXN.0105208-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner