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Provider Information for 1316536345

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MONA SUE MCDOWELL APRN

Gender: FEMALE

Individual NPI: 1316536345

Calendar   Last Updated:  2021-07-16
  Certification Date:  2021-07-16

Details

Name Value
NPI 1316536345
Enumeration Date 2021-01-14
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 47 5TH ST NW
WINTER HAVEN, FL 33881-4672
United States

Phone: 866-234-8534 | Fax:
View Map External Link
Primary Practice Address 1514 1ST ST N
WINTER HAVEN, FL 33881-2476
United States

Phone: 866-234-8534 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL APRN11011085