MEDICARE: ANTHONY D ROWELL

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	376K00000X	Nurse's Aide	258522	KS
2	374U00000X	Home Health Aide	258522	KS

General Provider Information

NPI Number	:	1992587828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY D ROWELL

Provider Business Mailing Address
First Line	:	2807 SW SUMMER CREEK CT
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-6266
Country	:	US
Telephone Number	:	913-568-8178
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 SW SUMMER CREEK CT
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-6266
Country	:	US
Telephone Number	:	913-568-8178
Fax Number	:

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

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

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Directions to “ ANTHONY D ROWELL ” Practice Location

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