Provider Demographics
NPI:1255466678
Name:ROWAN, KATHRYN J (RN, APN,C)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:J
Last Name:ROWAN
Suffix:
Gender:F
Credentials:RN, APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WALTER E FORAN BLVD
Mailing Address - Street 2:STE 302
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4664
Mailing Address - Country:US
Mailing Address - Phone:908-806-0080
Mailing Address - Fax:908-806-3478
Practice Address - Street 1:4 WALTER E FORAN BLVD
Practice Address - Street 2:STE 302
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4664
Practice Address - Country:US
Practice Address - Phone:908-806-0080
Practice Address - Fax:908-806-3478
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00117200363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ121876P22Medicare PIN
NJS90980Medicare UPIN