Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00760600 | NJ |
N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00760600 | NJ |
NPI | 1053830273 |
---|---|
Provider Name | Mrs. Carolyn Mcdowell |
First Address | Howell, NJ 07731-2316 |
Second Address | Marlboro, NJ 07746-2061 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2017 |
Last Update Date | 19/09/2017 |