Provider Demographics
NPI:1184708760
Name:LOWE, ANN E (NP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:E
Last Name:LOWE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30530 RANCHO CALIFORNIA RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3277
Mailing Address - Country:US
Mailing Address - Phone:951-699-5252
Mailing Address - Fax:951-699-5235
Practice Address - Street 1:30530 RANCHO CALIFORNIA RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3277
Practice Address - Country:US
Practice Address - Phone:951-699-5252
Practice Address - Fax:951-699-5235
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6103363LP0808X
CARN262714363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A369450Medicaid
CA00A369450Medicaid
CAS55962Medicare UPIN