Provider Demographics
NPI:1750400248
Name:ROWDEN, RACHAEL JOANN
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:JOANN
Last Name:ROWDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 CLAYMINE DRIVE
Mailing Address - Street 2:B
Mailing Address - City:FULTON
Mailing Address - State:MO
Mailing Address - Zip Code:65251
Mailing Address - Country:US
Mailing Address - Phone:573-642-0361
Mailing Address - Fax:573-642-0361
Practice Address - Street 1:298 CLAYMINE DRIVE
Practice Address - Street 2:B
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251
Practice Address - Country:US
Practice Address - Phone:573-642-0361
Practice Address - Fax:573-642-0361
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator