Basic Information
| Provider Information | |||||||||
| NPI: | 1710358643 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOWE | ||||||||
| FirstName: | MARI | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1251 SARATOGA AVE NE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200181025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028328818 | ||||||||
| FaxNumber: | 2028328575 | ||||||||
| Practice Location | |||||||||
| Address1: | 1251 SARATOGA AVE NE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200181025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028328818 | ||||||||
| FaxNumber: | 2028328575 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2015 | ||||||||
| LastUpdateDate: | 04/22/2016 | ||||||||
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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 | 363LF0000X | RN1019655 | DC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.