Doctor Name: | STEPHANIE LEIGH BOWMAN |
NPI Number: | 1508224916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 49673 |
Business Practice Address: | 1100 Grosscup Ave Dunbar Medical Associates, Pllc Dunbar, WV - 250643120 |
Business Phone Number: | 3047688811 |
Business Fax Number: | 3047684072 |
Mailing Address: | 1100 Grosscup Ave, Dunbar Medical Associates, Pllc DUNBAR |
State: | WV |
Postal Code: | 250643120 |
Phone Number: | 3047688811 |
Fax Number: | 3047684072 |
NPI Enumeration Date: | 02/01/2016 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 49673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |