Provider Demographics
NPI:1710358643
Name:LOWE, MARI (FNP-C)
Entity Type:Individual
Prefix:
First Name:MARI
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 SARATOGA AVE NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1025
Mailing Address - Country:US
Mailing Address - Phone:202-832-8818
Mailing Address - Fax:202-832-8575
Practice Address - Street 1:1251 SARATOGA AVE NE
Practice Address - Street 2:SUITE B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1025
Practice Address - Country:US
Practice Address - Phone:202-832-8818
Practice Address - Fax:202-832-8575
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN1019655363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily