Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 12.007212 | CT |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN02842 | RI |
NPI | 1023536232 |
---|---|
Provider Name | Courtney R. Dowen |
First Address | Providence, RI 02905-5010 |
Second Address | Providence, RI 02909-3623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2017 |
Last Update Date | 08/11/2021 |