Healthcare Provider Details

I. General information

NPI: 1275965063
Provider Name (Legal Business Name): ANDREANNA MARIA LOWE DNP, RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N COBB ST
MILLEDGEVILLE GA
31061-2343
US

IV. Provider business mailing address

10426 MERLIN WAY
KLAMATH FALLS OR
97601-8666
US

V. Phone/Fax

Practice location:
  • Phone: 478-454-3753
  • Fax: 478-457-2161
Mailing address:
  • Phone: 404-316-0614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberRN229322
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number201908422RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: