Provider Demographics
NPI:1376031823
Name:ROWLEY, JOYCE ELIZABETH (MS RDN LDN)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ELIZABETH
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:MS RDN LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9032 LORTON STATION BLVD APT 343
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4779
Mailing Address - Country:US
Mailing Address - Phone:443-866-1868
Mailing Address - Fax:
Practice Address - Street 1:9032 LORTON STATION BLVD APT 343
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4779
Practice Address - Country:US
Practice Address - Phone:443-866-1868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3982133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered