Provider Demographics
NPI:1265876064
Name:ROWE, CHRISTINA A (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:ROWE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:ROWE-JAMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:14 RIVER PL
Mailing Address - Street 2:APT 3
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-1426
Mailing Address - Country:US
Mailing Address - Phone:203-434-6610
Mailing Address - Fax:
Practice Address - Street 1:14 RIVER PL
Practice Address - Street 2:APT 3
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-1426
Practice Address - Country:US
Practice Address - Phone:203-434-6610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT079733163W00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No376K00000XNursing Service Related ProvidersNurse's Aide