Provider Demographics
NPI:1578926754
Name:DIMACULANGAN, ROWENA DAYAO (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROWENA
Middle Name:DAYAO
Last Name:DIMACULANGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14119 LONECREEK AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6200
Mailing Address - Country:US
Mailing Address - Phone:407-782-2335
Mailing Address - Fax:
Practice Address - Street 1:14119 LONECREEK AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6200
Practice Address - Country:US
Practice Address - Phone:407-782-2335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9285935163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency