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Stacy L Mc Dowell, CNS
Clinical Nurse Specialist in South Bend, Indiana
NPI 1376845073

Stacy L Mc Dowell is a Clinical Nurse Specialist based in South Bend, IN. Stacy L Mc Dowell practices in South Bend, IN and has the professional credentials of CNS. The NPI Number for Stacy L Mc Dowell is 1376845073 and holds a License No. 71003872A (Indiana).

The current practice location address for Stacy L Mc Dowell is 621 Memorial Dr Ste 312, South Bend, IN and can be reached out via phone at 574-647-5200 and via fax at 574-647-5210.

Location: 621 Memorial Dr Ste 312, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376845073
Provider Name
Stacy L Mc Dowell
Credential
CNS
Provider Entity Type
Individual
Gender
Female
Address
621 Memorial Dr Ste 312, South Bend, IN, 46617-1924
Phone Number
574-647-5200
Fax Number
574-647-5210
Provider Enumeration Date
12/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000769085 01 IN BCBS BMG VASCULAR INTERVENTIONAL RAD
201006430 05 IN
P01146029 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 312
City
South Bend
State
Indiana
Zip
46601-1073
Phone Number
574-647-5200
Fax Number
574-647-5210
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 312
City
South Bend
State
Indiana
Zip
46601-1073
Phone Number
574-647-5200
Fax Number
574-647-5210
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
71003872A (Indiana)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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