MEDICARE: ALELIE JOYCE ROWLANDS

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	163WM0705X	Medical-Surgical Registered Nurse	88725	NV

General Provider Information

NPI Number	:	1639882715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALELIE JOYCE ROWLANDS

Provider Business Mailing Address
First Line	:	5652 SALT ROCK ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-1309
Country	:	US
Telephone Number	:	518-763-5449
Fax Number	:

Provider Business Practice Location Address
First Line	:	5652 SALT ROCK ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-1309
Country	:	US
Telephone Number	:	518-763-5449
Fax Number	:

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

Provider Enumeration Date	:	01/03/2023
Last Update Date	:	01/03/2023

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