Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 49032071205 | UT |
N | 207PE0004X | Emergency Medical Services | 120698 | FL |
NPI | 1043218464 |
---|---|
Provider Name | Dr. Shari Lyn Rowley |
First Address | Kissimmee, FL 34746-2918 |
Second Address | Draper, UT 84020-5120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2005 |
Last Update Date | 09/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
49032078914001 | BLUE CROSS BLUE SHIELD (01) | UT |
D4150 | (05) | UT |
G73086 | (02) | UT |
P00207996 | RAIL ROAD (01) | UT |