Provider Demographics
NPI:1831303015
Name:O'DOWD, NANCY (APN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:O'DOWD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 COTSWOLD LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3017
Mailing Address - Country:US
Mailing Address - Phone:609-417-4564
Mailing Address - Fax:856-428-8189
Practice Address - Street 1:1208 COTSWOLD LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3017
Practice Address - Country:US
Practice Address - Phone:609-417-4564
Practice Address - Fax:856-428-8189
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC06606900163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ016127N2CMedicare PIN