Doctor Name: | ASHLEY LYNETTE BOWDEN |
NPI Number: | 1306278270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 4704272631 |
Business Practice Address: | 19701 Vernier Rd Suite 150 Harper Woods, MI - 482251467 |
Business Phone Number: | 3138814900 |
Business Fax Number: | |
Mailing Address: | 19701 Vernier Rd, Suite 150 HARPER WOODS |
State: | MI |
Postal Code: | 482251467 |
Phone Number: | 3138814900 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2013 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704272631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |