Provider Demographics
NPI:1184195562
Name:STOWES, SHAREE LASHELL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHAREE
Middle Name:LASHELL
Last Name:STOWES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 GLOUCESTER ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-2203
Mailing Address - Country:US
Mailing Address - Phone:757-694-5306
Mailing Address - Fax:
Practice Address - Street 1:915 GLOUCESTER ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-2203
Practice Address - Country:US
Practice Address - Phone:757-694-5306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily