Provider Demographics
NPI:1750699062
Name:DOWELL, DARLENE
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:DOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:DOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:5366 SCARLETOAK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6874
Mailing Address - Country:US
Mailing Address - Phone:513-429-0971
Mailing Address - Fax:513-429-0971
Practice Address - Street 1:5366 SCARLETOAK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6874
Practice Address - Country:US
Practice Address - Phone:513-429-0971
Practice Address - Fax:513-429-0971
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH128781164W00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No251J00000XAgenciesNursing Care