Provider Demographics
NPI:1841634532
Name:DOWNS, ALICIA ANNE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:ANNE
Last Name:DOWNS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:ALICIA
Other - Middle Name:ANNE
Other - Last Name:DOWNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:136 SCHOLASTIC WAY
Mailing Address - Street 2:
Mailing Address - City:CANAJOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:13317-3924
Mailing Address - Country:US
Mailing Address - Phone:518-673-6330
Mailing Address - Fax:518-673-8116
Practice Address - Street 1:136 SCHOLASTIC WAY
Practice Address - Street 2:
Practice Address - City:CANAJOHARIE
Practice Address - State:NY
Practice Address - Zip Code:13317-3924
Practice Address - Country:US
Practice Address - Phone:518-673-6330
Practice Address - Fax:518-673-8116
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY566699163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool