Provider Demographics
NPI:1841509601
Name:DOWELL, CHRISTA K (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:K
Last Name:DOWELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9798 S HWY 259
Mailing Address - Street 2:
Mailing Address - City:MCDANIELS
Mailing Address - State:KY
Mailing Address - Zip Code:40152
Mailing Address - Country:US
Mailing Address - Phone:270-902-4411
Mailing Address - Fax:
Practice Address - Street 1:9798 S HWY 259
Practice Address - Street 2:
Practice Address - City:MCDANIELS
Practice Address - State:KY
Practice Address - Zip Code:40152
Practice Address - Country:US
Practice Address - Phone:270-902-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6651P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily