Provider Demographics
NPI:1891983003
Name:ROWE, GINA CASTELNOVO (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:CASTELNOVO
Last Name:ROWE
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S TEXAS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-5361
Mailing Address - Country:US
Mailing Address - Phone:979-764-1111
Mailing Address - Fax:
Practice Address - Street 1:1602 ROCK PRAIRIE RD STE 2000
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5988
Practice Address - Country:US
Practice Address - Phone:979-764-1111
Practice Address - Fax:979-764-1164
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR145846363LF0000X
TX1059581363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1891983003Medicaid