MEDICARE: EARL F TOWLE R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	431276	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144272246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EARL F TOWLE R.N.

Provider Business Mailing Address
First Line	:	500 UNIVERSITY AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-6504
Country	:	US
Telephone Number	:	916-830-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 UNIVERSITY AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-6523
Country	:	US
Telephone Number	:	916-830-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/21/2008

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