Provider Demographics
NPI:1649680273
Name:LOWE, ROBYNN ASHLEY (ARNP)
Entity type:Individual
Prefix:
First Name:ROBYNN
Middle Name:ASHLEY
Last Name:LOWE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17201 CIVIC ST NE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-2729
Mailing Address - Country:US
Mailing Address - Phone:863-763-0271
Mailing Address - Fax:863-763-9698
Practice Address - Street 1:17201 CIVIC ST NE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-2729
Practice Address - Country:US
Practice Address - Phone:863-763-0271
Practice Address - Fax:863-763-9698
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FL9305692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program