MEDICARE: LEANN ROWLEN

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	163WS0200X	School Registered Nurse	RN00110835	WA

General Provider Information

NPI Number	:	1497221048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANN ROWLEN

Provider Business Mailing Address
First Line	:	6028 27TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 NE 75TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-4709
Country	:	US
Telephone Number	:	206-252-5017
Fax Number	:

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

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	10/22/2018

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Directions to “ LEANN ROWLEN ” Practice Location

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