NPI Profile for VICTORIA BOWMAN in SPANISH FORT, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1114486024 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/19/2019 | |
| Last updated | 08/20/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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VICTORIA BOWMAN
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