Lowery, Annie Rae

Lowery, Annie Rae is an individual health care provider with primary practice located at 1 Good Samaritan Way , Mount Vernon IL 62864-2402. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lowery, Annie Rae can be contacted via phone (618) 899-4600.

Contact Information

Primary practice address
1 Good Samaritan Way Mount Vernon IL 62864-2402
Phone: (618) 899-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041325822 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019877 Illinois

Profile Details

NPI number 1407418619
LBN Legal business name Lowery, Annie Rae
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2019
Last updated Oct 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407418619 NPPES
Illinois Other 209019877 LICENSE

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