Provider Demographics
NPI:1366841470
Name:ROWLEY, JOANNE (PMHCNS-BC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 OCEAN AVE
Mailing Address - Street 2:WELLNESS 5TH FLR
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-3675
Mailing Address - Country:US
Mailing Address - Phone:978-465-6064
Mailing Address - Fax:781-485-6230
Practice Address - Street 1:300 OCEAN AVE
Practice Address - Street 2:WELLNESS 5TH FLR
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-3675
Practice Address - Country:US
Practice Address - Phone:978-465-6064
Practice Address - Fax:781-485-6230
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN170264163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult