Doctor Name: | TAMARA L BOWLING |
NPI Number: | 1134569478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 14688-NP |
Business Practice Address: | 13777 Pearl Rd Strongsville, OH - 441364900 |
Business Phone Number: | 4402388360 |
Business Fax Number: | |
Mailing Address: | 6995 Fairhaven Oval Dr, MEDINA |
State: | OH |
Postal Code: | 442566384 |
Phone Number: | 7244946482 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2013 |
NPI Last Update Date: | 07/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14688-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |