Provider Demographics
NPI:1265652192
Name:ROWE, DEBRA ANN (LPN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:ROWE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1522
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-0807
Mailing Address - Country:US
Mailing Address - Phone:518-233-0830
Mailing Address - Fax:518-233-0830
Practice Address - Street 1:18 WEST ST
Practice Address - Street 2:1 LEFT
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-1300
Practice Address - Country:US
Practice Address - Phone:518-233-0830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270771164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse