MEDICARE: REBECCA ROWLEY 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	163W00000X	Registered Nurse	RN-307248	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0027697	OH
3	363LF0000X	Family Nurse Practitioner	APRN.CNP.002769	OH

General Provider Information

NPI Number	:	1841897089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ROWLEY FNP-C

Provider Business Mailing Address
First Line	:	2300 BALTIMORE REYNOLDSBURG RD STE 200
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-8030
Country	:	US
Telephone Number	:	614-627-1375
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E BROAD ST STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-1333
Country	:	US
Telephone Number	:	614-252-3636
Fax Number	:

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

Provider Enumeration Date	:	10/01/2020
Last Update Date	:	01/31/2024

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