Provider Demographics
NPI:1396783734
Name:LOSCH-ROWE, ELLEN KATHY (ANP)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:KATHY
Last Name:LOSCH-ROWE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-1899
Mailing Address - Country:US
Mailing Address - Phone:907-332-0291
Mailing Address - Fax:907-332-0291
Practice Address - Street 1:4001 LAKE OTIS PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5200
Practice Address - Country:US
Practice Address - Phone:907-770-9710
Practice Address - Fax:907-565-7529
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK915363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health