Provider Demographics
NPI:1053626002
Name:TOWE, BOBBI JO (RN)
Entity type:Individual
Prefix:MRS
First Name:BOBBI
Middle Name:JO
Last Name:TOWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2710
Mailing Address - Country:US
Mailing Address - Phone:937-541-1096
Mailing Address - Fax:
Practice Address - Street 1:1710 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2710
Practice Address - Country:US
Practice Address - Phone:937-541-1096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-15
Last Update Date:2010-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 338032163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health