Provider Demographics
NPI:1316934516
Name:MCDOWELL, BARBARA J (RN MSN CS APN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:MCDOWELL
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Gender:F
Credentials:RN MSN CS APN
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Mailing Address - Street 1:121 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 222
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-3027
Mailing Address - Country:US
Mailing Address - Phone:314-388-5201
Mailing Address - Fax:636-230-0421
Practice Address - Street 1:121 CIVIC CENTER DR
Practice Address - Street 2:SUITE 222
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-3027
Practice Address - Country:US
Practice Address - Phone:314-388-5201
Practice Address - Fax:636-230-0421
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MORN052085364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO156059OtherBCBS
MO156059OtherBCBS