Provider Demographics
NPI:1881807675
Name:DOWNES, LOUREEN SMART (ARNP)
Entity type:Individual
Prefix:
First Name:LOUREEN
Middle Name:SMART
Last Name:DOWNES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-2749
Mailing Address - Country:US
Mailing Address - Phone:239-574-4637
Mailing Address - Fax:
Practice Address - Street 1:6371 PRESIDENTIAL CT
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3544
Practice Address - Country:US
Practice Address - Phone:239-277-7747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1350642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ34502Medicare UPIN
FLU4156Medicare ID - Type Unspecified