Doctor Name: | TODD ROWLAND |
NPI Number: | 1104251909 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, RN, FNP-C, CEN |
License Number: | F0613942 |
Business Practice Address: | 1111 N China Lake Blvd Ridgecrest, CA - 935553131 |
Business Phone Number: | 7604993855 |
Business Fax Number: | 7604993870 |
Mailing Address: | 1111 N China Lake Blvd, RIDGECREST |
State: | CA |
Postal Code: | 935553131 |
Phone Number: | 7604993855 |
Fax Number: | 7604993870 |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0613942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |