Provider Demographics
NPI:1578873121
Name:ROWE, RANDI LEIGH (RN APN)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:LEIGH
Last Name:ROWE
Suffix:
Gender:F
Credentials:RN APN
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:LEIGH
Other - Last Name:MCANALLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 BROOK AVENUE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301
Mailing Address - Country:US
Mailing Address - Phone:940-761-1201
Mailing Address - Fax:940-761-1692
Practice Address - Street 1:1100 BROOK AVENUE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301
Practice Address - Country:US
Practice Address - Phone:940-761-1201
Practice Address - Fax:940-761-1692
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX733206363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care