Doctor Name: | MS. LINDA SUE BOWERS |
NPI Number: | 1497943542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.F.N.P. |
License Number: | 4704127217 |
Business Practice Address: | 12805 Escanaba Dr Suite 2 Dewitt, MI - 488208628 |
Business Phone Number: | 5179759750 |
Business Fax Number: | 5179759777 |
Mailing Address: | 12805 Escanaba Dr, Suite 2 DEWITT |
State: | MI |
Postal Code: | 488208628 |
Phone Number: | 5179759750 |
Fax Number: | 5179759777 |
NPI Enumeration Date: | 10/12/2007 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704127217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |