Provider Demographics
NPI:1871366229
Name:LOWE, RONICE (RN-BSN)
Entity type:Individual
Prefix:
First Name:RONICE
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 442
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20156-0442
Mailing Address - Country:US
Mailing Address - Phone:703-665-9654
Mailing Address - Fax:
Practice Address - Street 1:14780 SOAPSTONE DR APT 102
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-1897
Practice Address - Country:US
Practice Address - Phone:703-665-9654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001276041163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Single Specialty