Individual provider · NPI-1

Elizabeth Ann Mcdowell, PNP

Nurse Practitioner, Pediatrics · Crestview, FL

NPI number1114159894
StatusActive
Last updated in NPPESDec 21, 2023

Details

NPI
1114159894
Entity type
Individual (NPI-1)
Name
Mrs. Elizabeth Ann Mcdowell
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2009
Certification date
Dec 21, 2023
Last updated
Dec 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAPRN9469748FLYes

Other names

  • Elizabeth Ann Cooley (Former Name)

Practice location

800 Hospital Dr
Crestview, FL 32539-7385

Phone 850-682-1164 · Fax 850-682-5302

Mailing address

2804 Remington Green Cir Ste 2
Tallahassee, FL 32308-1550

Phone 850-385-4494

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