Provider Demographics
NPI:1346689973
Name:ROLAND ROWE, BEVERLY (RN)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:
Last Name:ROLAND ROWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:
Other - Last Name:ROLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:8 SOUND RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-1033
Mailing Address - Country:US
Mailing Address - Phone:845-249-9960
Mailing Address - Fax:
Practice Address - Street 1:8 SOUND RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1033
Practice Address - Country:US
Practice Address - Phone:845-249-9960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY564617-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse