Healthcare Provider Details

I. General information

NPI: 1346871738
Provider Name (Legal Business Name): MAUREEN LUCILLE DOWLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1787 S LOCUST ST
DENVER CO
80224-2164
US

IV. Provider business mailing address

1787 S LOCUST ST
DENVER CO
80224-2164
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-0442
  • Fax:
Mailing address:
  • Phone: 303-758-0442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: