Provider Demographics
NPI:1417226978
Name:BLOWERS, RENEE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:ANN
Last Name:BLOWERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:RENEE
Other - Middle Name:ANN
Other - Last Name:EGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 WHITE BIRCH LANE
Mailing Address - Street 2:HAMILTON COUNTY PHNS
Mailing Address - City:INDIAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12842
Mailing Address - Country:US
Mailing Address - Phone:518-648-6141
Mailing Address - Fax:518-648-6143
Practice Address - Street 1:81 WHITE BIRCH LANE
Practice Address - Street 2:
Practice Address - City:INDIAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:12842
Practice Address - Country:US
Practice Address - Phone:518-648-6141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5768131163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health