Provider Demographics
NPI:1316749807
Name:DOWLING, NICOLE L (CHHP, CBP)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:L
Last Name:DOWLING
Suffix:
Gender:F
Credentials:CHHP, CBP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11621 WHITE TAIL RDG
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-5087
Mailing Address - Country:US
Mailing Address - Phone:405-306-3993
Mailing Address - Fax:
Practice Address - Street 1:11621 WHITE TAIL RDG
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-5087
Practice Address - Country:US
Practice Address - Phone:405-306-3993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach