Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1912103706 |
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| LBN Legal business name | BOWER TAKE CARE HEALTH NEVADA, PC | ||||
| Authorized official | ANGELA BOWER - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/27/2007 | ||||
| Last updated | 06/22/2018 - About 8 years ago | ||||
| Identifiers |
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