Provider Demographics
NPI:1487324661
Name:ROWLEY, MADELINE XINGNI (PA-C)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:XINGNI
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 W 162ND ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-1903
Mailing Address - Country:US
Mailing Address - Phone:440-263-1557
Mailing Address - Fax:
Practice Address - Street 1:3316 W 162ND ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-1903
Practice Address - Country:US
Practice Address - Phone:440-263-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant