Doctor Name: | DIANA BOWERS |
NPI Number: | 1063728863 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, RN, RD |
License Number: | 1862 |
Business Practice Address: | 404 E Wilson Bridge Rd Worthington, OH - 430852369 |
Business Phone Number: | 6145660850 |
Business Fax Number: | |
Mailing Address: | 404 E Wilson Bridge Rd, WORTHINGTON |
State: | OH |
Postal Code: | 430852369 |
Phone Number: | 6145660850 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | 1862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |