Provider Demographics
NPI:1275114902
Name:ROWLAND, CHARITY JOY (FNP)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:JOY
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW EAGLE
Mailing Address - State:PA
Mailing Address - Zip Code:15067-1526
Mailing Address - Country:US
Mailing Address - Phone:724-787-1184
Mailing Address - Fax:
Practice Address - Street 1:178 7TH AVE
Practice Address - Street 2:
Practice Address - City:NEW EAGLE
Practice Address - State:PA
Practice Address - Zip Code:15067-1526
Practice Address - Country:US
Practice Address - Phone:724-787-1184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily