Provider Demographics
NPI:1992450282
Name:ROWE, DEANNA (NBHWC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 OLD DOMINION DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2402
Mailing Address - Country:US
Mailing Address - Phone:513-203-7860
Mailing Address - Fax:
Practice Address - Street 1:1282 OLD DOMINION DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2402
Practice Address - Country:US
Practice Address - Phone:513-203-7860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3256073