Provider Demographics
NPI:1942011713
Name:DOWAH, VIVIAN MLANGNON (RN-BSN)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:MLANGNON
Last Name:DOWAH
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:M
Other - Last Name:SAYON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSING
Mailing Address - Street 1:5480 LONGVIEW CT UNIT 4
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2726
Mailing Address - Country:US
Mailing Address - Phone:815-507-6811
Mailing Address - Fax:
Practice Address - Street 1:5480 LONGVIEW CT UNIT 4
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2726
Practice Address - Country:US
Practice Address - Phone:815-507-6811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA170821163WC1500X, 163WG0600X, 163WH0200X, 163WM0705X, 163WR0400X, 163WW0000X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WW0000XNursing Service ProvidersRegistered NurseWound Care