Provider Demographics
NPI:1871326405
Name:STOWE, DORCAS K (RN)
Entity type:Individual
Prefix:
First Name:DORCAS
Middle Name:K
Last Name:STOWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CROWN ST APT 31M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-1817
Mailing Address - Country:US
Mailing Address - Phone:347-965-2303
Mailing Address - Fax:
Practice Address - Street 1:49 CROWN ST APT 31M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-1817
Practice Address - Country:US
Practice Address - Phone:347-965-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY855844-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse