Healthcare Provider Details

I. General information

NPI: 1275965063
Provider Name (Legal Business Name): ANDREANNA MARIA LOWE DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 N MAIN ST
NEWBERG OR
97132-2312
US

IV. Provider business mailing address

809 ROXE DR
FOREST GROVE OR
97116-1592
US

V. Phone/Fax

Practice location:
  • Phone: 503-476-1431
  • Fax: 844-247-1666
Mailing address:
  • Phone: 404-316-0614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10064630
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: