Healthcare Provider Details

I. General information

NPI: 1407288095
Provider Name (Legal Business Name): COURTNEY ROWE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR NEUROSURGERY
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

700 CHILDRENS DR NEUROSURGERY
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN.334360
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberCOA.14946-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: