Provider Demographics
NPI:1659705960
Name:ROWIN-FOX, ANGELICA M (FNP)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:M
Last Name:ROWIN-FOX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 PABST FARMS CIR
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-4879
Mailing Address - Country:US
Mailing Address - Phone:262-354-3100
Mailing Address - Fax:262-354-3101
Practice Address - Street 1:1370 PABST FARMS CIR
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-4879
Practice Address - Country:US
Practice Address - Phone:262-354-3100
Practice Address - Fax:262-354-3101
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI172045-30163W00000X
WI10465-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse