Healthcare Provider Details

I. General information

NPI: 1114469681
Provider Name (Legal Business Name): COLLEEN LOWE APRN-CNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2016
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE MLC 2023
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE MLC 2023
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4371
  • Fax: 513-636-7657
Mailing address:
  • Phone: 513-636-4371
  • Fax: 513-636-7657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.019973
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: