Provider Demographics
NPI:1962791368
Name:ROWE, CAROLINE C (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:C
Last Name:ROWE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:KHEIRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 31725
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-0725
Mailing Address - Country:US
Mailing Address - Phone:636-893-1356
Mailing Address - Fax:
Practice Address - Street 1:456 N NEW BALLAS RD STE 386
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6846
Practice Address - Country:US
Practice Address - Phone:314-887-7605
Practice Address - Fax:314-887-7609
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011007613363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily