Healthcare Provider Details

I. General information

NPI: 1295497188
Provider Name (Legal Business Name): LINDA A ROWAN MS, MSN, PMNHP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14205 SE 36TH ST
BELLEVUE WA
98006-1596
US

IV. Provider business mailing address

14205 SE 36TH ST STE 100
BELLEVUE WA
98006-1553
US

V. Phone/Fax

Practice location:
  • Phone: 425-475-2663
  • Fax:
Mailing address:
  • Phone: 425-475-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number551319
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1168992
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0102917
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number243242
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number320887
License Number StateAZ
# 6
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number61607935
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: