Provider Demographics
NPI:1821870833
Name:ROWLANDS, KRYSTLE U (AGPCNP-C)
Entity Type:Individual
Prefix:
First Name:KRYSTLE
Middle Name:U
Last Name:ROWLANDS
Suffix:
Gender:F
Credentials:AGPCNP-C
Other - Prefix:
Other - First Name:KRYSTLE
Other - Middle Name:U
Other - Last Name:ROWLANDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:215 ALTA LOMA DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-2241
Mailing Address - Country:US
Mailing Address - Phone:650-267-3861
Mailing Address - Fax:
Practice Address - Street 1:215 ALTA LOMA DR
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-2241
Practice Address - Country:US
Practice Address - Phone:650-267-3861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95027113363LG0600X, 363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care