Individual
SAMANTHA LYNNE DOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610
(919) 235-6505
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5013470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598378937
—
NC
Enumeration date
08/25/2020
Last updated
02/08/2023
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