Healthcare Provider Details

I. General information

NPI: 1710610514
Provider Name (Legal Business Name): LAURA KATHRYN ROWLEY MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5209 W WOODMILL DR
WILMINGTON DE
19808-4068
US

IV. Provider business mailing address

921 DEXTER CORNER RD
TOWNSEND DE
19734-9241
US

V. Phone/Fax

Practice location:
  • Phone: 302-762-6675
  • Fax:
Mailing address:
  • Phone: 302-743-4356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012056
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: