Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 1153118 | AL |
NPI | 1003583113 |
---|---|
Provider Name | Mrs. Ashley Nicole Lowden |
First Address | Rainsville, AL 35986-0649 |
Second Address | Rainsville, AL 35986-5254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2021 |
Last Update Date | 26/08/2021 |