Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 0017139339 | VA |
NPI | 1003807371 |
---|---|
Provider Name | Stephani C Lowery |
First Address | Fredericksburg, VA 22401-4467 |
Second Address | Fredericksburg, VA 22401-4467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 21/02/2012 |