Provider Demographics
NPI:1023689247
Name:DOWELL, CHERIE LYNN (MPAS)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:LYNN
Last Name:DOWELL
Suffix:
Gender:F
Credentials:MPAS
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:LYNN
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2586 PACIFIC DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-5513
Mailing Address - Country:US
Mailing Address - Phone:701-715-6286
Mailing Address - Fax:
Practice Address - Street 1:2586 PACIFIC DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-5513
Practice Address - Country:US
Practice Address - Phone:701-715-6286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant