Provider Demographics
NPI:1588949531
Name:LOWE, MALIKA EILEEN (RN)
Entity type:Individual
Prefix:
First Name:MALIKA
Middle Name:EILEEN
Last Name:LOWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5095 WHISTLING WIND AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-3288
Mailing Address - Country:US
Mailing Address - Phone:646-829-9655
Mailing Address - Fax:
Practice Address - Street 1:5095 WHISTLING WIND AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-3288
Practice Address - Country:US
Practice Address - Phone:646-829-9655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9381117163WC0400X, 163WH0200X, 163WC1600X
NY68197701163WH0200X
NY305784164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse