MEDICARE: MARY C.S. LOWE NP

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	5000963	NC
2	363LF0000X	Family Nurse Practitioner	0024184403	VA

General Provider Information

NPI Number	:	1811969231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY C.S. LOWE NP

Provider Business Mailing Address
First Line	:	724 SOUTH MASON STREET
Second Line	:	MSC 7901
City	:	HARRISONBURG
State	:	VA
Zip	:	22807
Country	:	US
Telephone Number	:	540-568-6178
Fax Number	:	540-568-6176

Provider Business Practice Location Address
First Line	:	724 SOUTH MASON STREET MSC 7901
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22807-3092
Country	:	US
Telephone Number	:	540-568-6178
Fax Number	:	540-568-6176

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	12/09/2022

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