Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0 | UT |
NPI | 1063080042 |
---|---|
Provider Name | Mccall Dowdle |
First Address | Las Vegas, NV 89144-1350 |
Second Address | Las Vegas, NV 89144-1350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2021 |
Last Update Date | 15/06/2021 |