Provider Demographics
NPI:1043775364
Name:MCDOWELL, DAWN (FNP-C)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1552
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-7552
Mailing Address - Country:US
Mailing Address - Phone:719-398-3459
Mailing Address - Fax:719-530-3017
Practice Address - Street 1:305 G ST UNIT C
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2020
Practice Address - Country:US
Practice Address - Phone:719-398-3331
Practice Address - Fax:719-530-3017
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1689611163W00000X
NM57883363LF0000X
COAPN.0998713-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse