Provider Demographics
NPI:1497392971
Name:TOWNLEY, NAVELL ANNETTE
Entity Type:Individual
Prefix:
First Name:NAVELL
Middle Name:ANNETTE
Last Name:TOWNLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 SKYLARK LN
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55122-1727
Mailing Address - Country:US
Mailing Address - Phone:651-252-7260
Mailing Address - Fax:
Practice Address - Street 1:4106 SKYLARK LN
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55122-1727
Practice Address - Country:US
Practice Address - Phone:651-252-7260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care