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NPI Code Detail

MEDICARE: MS. TRACY MCDOWELL LPN

MEDICARE: MS. TRACY MCDOWELL LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN304568PA

General Provider Information

NPI Number : 1609382431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY MCDOWELL LPN
Provider Business Mailing Address
First Line : 311 ROUSER RD
Second Line :
City : MOON TOWNSHIP
State : PA
Zip : 15108-6801
Country : US
Telephone Number : 412-604-8900
Fax Number : 412-299-8755
Provider Business Practice Location Address
First Line : 100 MOFFETT RUN RD
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-9152
Country : US
Telephone Number : 724-378-4461
Fax Number : 724-375-7763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2017
Last Update Date : 12/15/2017

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Directions to “ MS. TRACY MCDOWELL LPN” Practice Location

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