Doctor Name: | KERRI DOWGIALLO |
NPI Number: | 1154601466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 70516 |
Business Practice Address: | 200 W. Hospital Drive Whiteriver, AZ - 85942 |
Business Phone Number: | 9283384911 |
Business Fax Number: | |
Mailing Address: | 200 W. Hospital Drive, WHITERIVER |
State: | AZ |
Postal Code: | 85942 |
Phone Number: | 9283384911 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 08/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 70516 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |