Healthcare Provider Details

I. General information

NPI: 1922014638
Provider Name (Legal Business Name): JULIE GREEN ROWE RN MS CS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 BOSTON ST
LYNN MA
01904-2540
US

IV. Provider business mailing address

189 HART ST
BEVERLY MA
01915-2167
US

V. Phone/Fax

Practice location:
  • Phone: 781-592-6608
  • Fax:
Mailing address:
  • Phone: 978-927-2058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number145947
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: