Provider Demographics
NPI:1851784359
Name:ROWLAND, KRISCHELLE PANGANIBAN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KRISCHELLE
Middle Name:PANGANIBAN
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KRISCHELLE
Other - Middle Name:PASCUAL
Other - Last Name:PANGANIBAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7690 DISCOVERY DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6542
Mailing Address - Country:US
Mailing Address - Phone:513-475-8730
Mailing Address - Fax:
Practice Address - Street 1:7690 DISCOVERY DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6542
Practice Address - Country:US
Practice Address - Phone:513-475-8730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.17028-NP363LF0000X
OHAPRN.CNP.17028363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0121182Medicaid
OHH457010Medicare PIN