Provider Demographics
NPI:1710946975
Name:HOWLEY, DAWN L (ARNP, CS)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:L
Last Name:HOWLEY
Suffix:
Gender:F
Credentials:ARNP, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 680
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-0680
Mailing Address - Country:US
Mailing Address - Phone:712-580-3882
Mailing Address - Fax:712-580-3932
Practice Address - Street 1:2016 HIGHWAY BLVD
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-2112
Practice Address - Country:US
Practice Address - Phone:712-580-3882
Practice Address - Fax:712-580-3932
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAT-056809363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0447151Medicaid
IAI8771Medicare PIN
IA0447151Medicaid
IA03222Medicare PIN