| Doctor Name: | INGRID KAY BOWSER |
| NPI Number: | 1003902248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 71002215A |
| Business Practice Address: | 1206 College Ave Suite 2 Goshen, IN - 465264937 |
| Business Phone Number: | 5745346757 |
| Business Fax Number: | 5745370357 |
| Mailing Address: | 8888 Keystone Xing Ste 1300, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462404600 |
| Phone Number: | 8664603567 |
| Fax Number: | 8556328329 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 03/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 71002215A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |