Healthcare Provider Details

I. General information

NPI: 1568102911
Provider Name (Legal Business Name): MARIA ROWE RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2542 S BASCOM AVE STE 100
CAMPBELL CA
95008-5541
US

IV. Provider business mailing address

1705 ZIMMERMAN LN
ROUND ROCK TX
78681-1875
US

V. Phone/Fax

Practice location:
  • Phone: 512-963-8595
  • Fax:
Mailing address:
  • Phone: 512-963-8595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: