Healthcare Provider Details

I. General information

NPI: 1851871909
Provider Name (Legal Business Name): CHRISTINE ROSEMARIE ROWE NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 GREEN VALLEY RD
GREENSBORO NC
27408-7021
US

IV. Provider business mailing address

2314 MEADOW GATE DR
GREENSBORO NC
27455-2479
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-6561
  • Fax:
Mailing address:
  • Phone: 646-373-7364
  • Fax: 336-282-4744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number5010869
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: