| Doctor Name: | TANYA DIAN BOWDEN |
| NPI Number: | 1194015990 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 200600098278 |
| Business Practice Address: | 101 Skaggs Rd Suite 302 Branson, MO - 656162075 |
| Business Phone Number: | 4173348288 |
| Business Fax Number: | 4173346966 |
| Mailing Address: | 101 Skaggs Rd, Suite 302 BRANSON |
| State: | MO |
| Postal Code: | 656162075 |
| Phone Number: | 4173348288 |
| Fax Number: | 4173346966 |
| NPI Enumeration Date: | 04/13/2011 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 200600098278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |