MEDICARE: MS. VEDA L ROWE FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	200674	NC
2	363L00000X	Nurse Practitioner	200674	NC

General Provider Information

NPI Number	:	1720040314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VEDA L ROWE FNP

Provider Business Mailing Address
First Line	:	1880 S CREEK RD
Second Line	:
City	:	NEBO
State	:	NC
Zip	:	28761-7715
Country	:	US
Telephone Number	:	828-442-8432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 S CREEK RD
Second Line	:
City	:	NEBO
State	:	NC
Zip	:	28761-7715
Country	:	US
Telephone Number	:	828-442-8432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	04/18/2012

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