Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 432875 | TX |
NPI | 1386853562 |
---|---|
Provider Name | Mrs. Cherryl Lynn Rowell |
First Address | Mt Enterprise, TX 75681-0489 |
Second Address | Mount Enterprise, TX 75681-0489 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 29/03/2011 |