Provider Demographics
NPI:1447098942
Name:ROWELL, HEATHER LYNN MAURER (FNP-C)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LYNN MAURER
Last Name:ROWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24074 LIMERICK LN
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-8752
Mailing Address - Country:US
Mailing Address - Phone:251-508-2462
Mailing Address - Fax:
Practice Address - Street 1:778 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9300
Practice Address - Country:US
Practice Address - Phone:769-208-4437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-183277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily