1891926705 NPI number — ELKE MOWERS RN, MSN, FNP, OCN

Table of content: ELKE MOWERS RN, MSN, FNP, OCN (NPI 1891926705)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891926705 NPI number — ELKE MOWERS RN, MSN, FNP, OCN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOWERS
Provider First Name:
ELKE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, MSN, FNP, OCN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOWERS
Provider Other First Name:
ELKE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1891926705
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
265 COHASSET RD
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
CHICO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95926-2273
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-899-8000
Provider Business Mailing Address Fax Number:
530-899-8026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
265 COHASSET RD
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926-2273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-899-8000
Provider Business Practice Location Address Fax Number:
530-899-8026
Provider Enumeration Date:
07/28/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  18994 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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