Provider Demographics
NPI:1053830273
Name:MCDOWELL, CAROLYN (APN)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 UNDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2316
Mailing Address - Country:US
Mailing Address - Phone:908-770-0068
Mailing Address - Fax:
Practice Address - Street 1:15 SCHOOL RD E STE 2
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2061
Practice Address - Country:US
Practice Address - Phone:732-866-9922
Practice Address - Fax:732-866-9970
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00760600363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology