Provider Demographics
NPI:1225276413
Name:ROWAN, ANGELA LOUISE (RN NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LOUISE
Last Name:ROWAN
Suffix:
Gender:F
Credentials:RN NP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FWY STE 420
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4696
Mailing Address - Country:US
Mailing Address - Phone:832-912-6777
Mailing Address - Fax:281-664-6424
Practice Address - Street 1:21216 NORTHWEST FWY STE 420
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4696
Practice Address - Country:US
Practice Address - Phone:832-912-6777
Practice Address - Fax:281-664-6424
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX619283363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ65012Medicare UPIN