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NPI Code Detail

MEDICARE: ELEANOR LATRELLE LOWE FNP

MEDICARE:   ELEANOR LATRELLE LOWE  FNP
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
1363L00000XNurse Practitioner200096NC
2363LF0000XFamily Nurse Practitioner200096NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151733OTHERNCRN LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3200096OTHERNCNP LICENSE

General Provider Information

NPI Number : 1578568465
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANOR LATRELLE LOWE FNP
Provider Business Mailing Address
First Line : 902 KIRKWOOD AVE NW
Second Line :
City : LENOIR
State : NC
Zip : 28645-5121
Country : US
Telephone Number : 828-754-0101
Fax Number : 828-757-0402
Provider Business Practice Location Address
First Line : 902 KIRKWOOD AVE NW
Second Line :
City : LENOIR
State : NC
Zip : 28645-5121
Country : US
Telephone Number : 287-540-1018
Fax Number : 828-757-0402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/07/2023

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Directions to “ ELEANOR LATRELLE LOWE FNP” Practice Location

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