Provider Demographics
NPI:1942941042
Name:DOWERY, ANNETTE DENISE
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:DENISE
Last Name:DOWERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 S LAKE DR UNIT 365
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:WI
Mailing Address - Zip Code:53235-5969
Mailing Address - Country:US
Mailing Address - Phone:414-517-4075
Mailing Address - Fax:
Practice Address - Street 1:4200 S LAKE DR UNIT 365
Practice Address - Street 2:
Practice Address - City:SAINT FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235-5969
Practice Address - Country:US
Practice Address - Phone:414-517-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor