Provider Demographics
NPI:1407910268
Name:LOWRY, MAUREEN THERESA (RN,MSN)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:THERESA
Last Name:LOWRY
Suffix:
Gender:F
Credentials:RN,MSN
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:THERESA
Other - Last Name:MUNDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,MSN
Mailing Address - Street 1:221 HAPEMAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-2362
Mailing Address - Country:US
Mailing Address - Phone:845-758-2589
Mailing Address - Fax:
Practice Address - Street 1:248 FOX HOLLOW ROAD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-876-5907
Practice Address - Fax:845-876-5176
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2938821163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse