Provider Demographics
NPI:1679811996
Name:DOWNING, DAWN ANNE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:DAWN
Middle Name:ANNE
Last Name:DOWNING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1471 CRESCENT RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:OH
Mailing Address - Zip Code:44837-9447
Mailing Address - Country:US
Mailing Address - Phone:419-921-4336
Mailing Address - Fax:
Practice Address - Street 1:1471 CRESCENT RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:OH
Practice Address - Zip Code:44837-9447
Practice Address - Country:US
Practice Address - Phone:419-921-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH116311164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse