Provider Demographics
NPI:1588215735
Name:DWETE LOWE, NATHALIE VIVIANE
Entity Type:Individual
Prefix:
First Name:NATHALIE VIVIANE
Middle Name:
Last Name:DWETE LOWE
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 1:5121 DUDLEY LN APT 302
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5479
Mailing Address - Country:US
Mailing Address - Phone:301-792-4999
Mailing Address - Fax:
Practice Address - Street 1:5121 DUDLEY LN APT 302
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5479
Practice Address - Country:US
Practice Address - Phone:301-792-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14665374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide