Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health |
NPI | 1578135661 |
---|---|
Provider Name | Ms. Nadirah Lowen |
First Address | Durham, NC 27703-4928 |
Second Address | Durham, NC 27703-4928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2021 |
Last Update Date | 16/07/2021 |