Basic Information
Provider Information
NPI: 1770030058
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWLAND
FirstName: EMILY
MiddleName: BROOKE
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 19305
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282199305
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1000 BLYTHE BLVD
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282035812
CountryCode: US
TelephoneNumber: 7043550720
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/05/2016
LastUpdateDate: 09/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X5008852NCN Allopathic & Osteopathic PhysiciansHospitalist 
363L00000X5008852NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000X5008852NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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