Healthcare Provider Details

I. General information

NPI: 1225643604
Provider Name (Legal Business Name): EMILY DOWD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE OH
45459-3811
US

IV. Provider business mailing address

1975 MIAMISBURG CENTERVILLE RD
WASHINGTON TOWNSHIP OH
45459-3811
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-6186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLE-00033424
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0027553
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.428695
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: