Healthcare Provider Details

I. General information

NPI: 1902123177
Provider Name (Legal Business Name): HELEN RENEE ROWLANDS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 04/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 DELAWARE AVE SUITE 310
BUFFALO NY
14202-1620
US

IV. Provider business mailing address

3635 LOWER MOUNTAIN RD
SANBORN NY
14132-9114
US

V. Phone/Fax

Practice location:
  • Phone: 716-852-5900
  • Fax: 716-852-5913
Mailing address:
  • Phone: 716-731-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number39225
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: