Provider Demographics
NPI:1649559329
Name:ROWLES, KATHERINE W (RN, NP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:W
Last Name:ROWLES
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 SCHOEN PL STE 5
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2055
Mailing Address - Country:US
Mailing Address - Phone:585-204-0777
Mailing Address - Fax:585-252-6784
Practice Address - Street 1:11 SCHOEN PL STE 5
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2055
Practice Address - Country:US
Practice Address - Phone:585-204-0777
Practice Address - Fax:585-252-6784
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY40401488363LP0808X
NY22 603195163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse