Basic Information
| Provider Information | |||||||||
| NPI: | 1275603847 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROWLAND | ||||||||
| FirstName: | PAMELA | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1503 LANSDOWNE AVE | ||||||||
| Address2: | STE 3001 | ||||||||
| City: | DARBY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190231330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105864100 | ||||||||
| FaxNumber: | 6105864114 | ||||||||
| Practice Location | |||||||||
| Address1: | 1503 LANSDOWNE AVE | ||||||||
| Address2: | STE 3001 | ||||||||
| City: | DARBY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190231330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105864100 | ||||||||
| FaxNumber: | 6105864114 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2006 | ||||||||
| LastUpdateDate: | 11/18/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | RN315927L | PA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363L00000X | TP005538C | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.