Provider Demographics
NPI:1083335210
Name:LOWE, VERONICA R (NP)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:R
Last Name:LOWE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:R
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:14544 180TH ST PH
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-5035
Mailing Address - Country:US
Mailing Address - Phone:718-962-5356
Mailing Address - Fax:718-527-7064
Practice Address - Street 1:14544 180TH ST PH
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5035
Practice Address - Country:US
Practice Address - Phone:718-962-5356
Practice Address - Fax:718-527-7064
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY523658-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse