Provider Demographics
NPI:1609347004
Name:ROWE, HARRY ROBERT (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:ROBERT
Last Name:ROWE
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23715 MERCANTILE RD STE A203
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5918
Mailing Address - Country:US
Mailing Address - Phone:216-292-2880
Mailing Address - Fax:
Practice Address - Street 1:23715 MERCANTILE RD STE A203
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5918
Practice Address - Country:US
Practice Address - Phone:216-292-2880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0032096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty