Provider Demographics
NPI:1841902111
Name:DOWE, KAYLEN MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:KAYLEN
Middle Name:MARIE
Last Name:DOWE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KAYLEN
Other - Middle Name:MARIE
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:506 MAIN ST
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1530
Practice Address - Country:US
Practice Address - Phone:207-571-7991
Practice Address - Fax:207-571-7990
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH090231-23363LF0000X
MARN2347651163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse