Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MW010423 | PA |
NPI | 1427586650 |
---|---|
Provider Name | Paige Allison Rowland |
First Address | Philadelphia, PA 19141-3018 |
Second Address | Philadelphia, PA 19141-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2017 |
Last Update Date | 12/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MW010423 | NURSE-MIDWIFE (01) | PA |
RN606315 | RN LICENSE (01) | PA |