Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 48951 | WV |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0024173560 | VA |
NPI | 1013005263 |
---|---|
Provider Name | Amy Leigh Stowers |
First Address | Lynchburg, VA 24502-4272 |
Second Address | Lynchburg, VA 24502-4272 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 27/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013005263 | (05) | VA |
7102293000 | (05) | WV |
7102293001 | (05) | WV |
7102293002 | (05) | WV |
P77455 | (02) |