Provider Demographics
NPI:1548713530
Name:LOWERY, DAVID WAYNE (ARNP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WAYNE
Last Name:LOWERY
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1405 CENTERVILLE RD
Mailing Address - Street 2:STE 5200
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4663
Mailing Address - Country:US
Mailing Address - Phone:850-431-3933
Mailing Address - Fax:850-431-6449
Practice Address - Street 1:1401 CENTERVILLE RD
Practice Address - Street 2:SUITE 5200
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4647
Practice Address - Country:US
Practice Address - Phone:850-431-3933
Practice Address - Fax:850-431-6449
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN9335990363LF0000X
FLARNP9335990363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily