Doctor Name: | DANIELLE F. BOWEN |
NPI Number: | 1063485035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R046051 |
Business Practice Address: | 2 Kennebunk Dr Kennebunk, ME - 040436078 |
Business Phone Number: | 2079850008 |
Business Fax Number: | 2079859820 |
Mailing Address: | P.o. Box 911, BRATTLEBORO |
State: | VT |
Postal Code: | 05302 |
Phone Number: | 2073967600 |
Fax Number: | 2073968381 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R046051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |