MEDICARE: JULIE ROWAN APRN, FNP-BC

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	APRN001791	NV
2	363LF0000X	Family Nurse Practitioner	RN2343625	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12703518	OTHER	NV	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871923532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ROWAN APRN, FNP-BC

Provider Business Mailing Address
First Line	:	248 COUNTRY CLUB PKWY
Second Line	:
City	:	SPRING CREEK
State	:	NV
Zip	:	89815-5830
Country	:	US
Telephone Number	:	775-777-1276
Fax Number	:	775-777-7022

Provider Business Practice Location Address
First Line	:	248 COUNTRY CLUB PKWY
Second Line	:
City	:	SPRING CREEK
State	:	NV
Zip	:	89815-5830
Country	:	US
Telephone Number	:	775-777-1276
Fax Number	:	775-777-7022

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

Provider Enumeration Date	:	11/17/2013
Last Update Date	:	07/08/2025

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