MEDICARE: ELIZABETH ANNE ROWLEY MN,FNP-C

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	200250086NP-FNP	OR

General Provider Information

NPI Number	:	1699886663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE ROWLEY MN,FNP-C

Provider Business Mailing Address
First Line	:	2931 DOCTORS PARK DR
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-8127
Country	:	US
Telephone Number	:	541-245-4444
Fax Number	:	541-245-4443

Provider Business Practice Location Address
First Line	:	2931 DOCTORS PARK DR
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-8127
Country	:	US
Telephone Number	:	541-245-4444
Fax Number	:	541-245-4443

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/12/2011

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