Provider Demographics
NPI:1023291325
Name:LOWE, PAULA JEAN (FNP)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:JEAN
Last Name:LOWE
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 1:3403 E RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-4744
Mailing Address - Country:US
Mailing Address - Phone:317-957-2000
Mailing Address - Fax:
Practice Address - Street 1:3401 E RAYMOND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-4744
Practice Address - Country:US
Practice Address - Phone:317-957-7210
Practice Address - Fax:317-957-2120
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN164262363LF0000X
AZAP3721363LF0000X
OHCOA.09714-NP363LF0000X
IN71002626A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ539551Medicaid
IN200895060Medicaid
OHNP25625Medicare PIN
OHNP25623Medicare PIN
OHNP25624Medicare PIN