Doctor Name: | PATRICIA LOUISE BOWMAN |
NPI Number: | 1598091456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 33063 |
Business Practice Address: | 100 Paducah Dr Suite B New Martinsville, WV - 261552710 |
Business Phone Number: | 3044474000 |
Business Fax Number: | 3044552870 |
Mailing Address: | 100 Paducah Dr, Suite B NEW MARTINSVILLE |
State: | WV |
Postal Code: | 261552710 |
Phone Number: | 3044474000 |
Fax Number: | 3044552870 |
NPI Enumeration Date: | 10/28/2009 |
NPI Last Update Date: | 03/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 33063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |