Individual
MARY KATHLEEN DOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001190659
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167788
VA
Other
Enumeration date
04/18/2008
Last updated
02/24/2015
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