Healthcare Provider Details

I. General information

NPI: 1033098751
Provider Name (Legal Business Name): JULIA ELISE DOWLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3704 BIG BEND RD NE
ALBUQUERQUE NM
87111-4321
US

IV. Provider business mailing address

3704 BIG BEND RD NE
ALBUQUERQUE NM
87111-4321
US

V. Phone/Fax

Practice location:
  • Phone: 505-306-7904
  • Fax:
Mailing address:
  • Phone: 505-306-7904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number25032D
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number85656
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: