Michelle Edtha Rose-Dowdy
Nurse Practitioner, Primary Care in Brooklyn, NY. Individual provider (NPI-1).
NPI number1194477976
StatusActive
Last updated in NPPESAug 31, 2022
Details
- NPI
- 1194477976
- Entity type
- Individual (NPI-1)
- Name
- Michelle Edtha Rose-Dowdy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2022
- Certification date
- Aug 31, 2022
- Last updated
- Aug 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 348568 | NY | Yes |
| 163WG0000X | Registered Nurse, General Practice | 348568-01 | NY |
Practice location
585 Schenectady AveBrooklyn, NY 11203-1822
Phone 718-604-5000
Mailing address
585 Schenectady AveBrooklyn, NY 11203-1822
Phone 718-604-5000
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