| Doctor Name: | MRS. TRACEY LYNN BOWERS |
| NPI Number: | 1669734919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 337318 |
| Business Practice Address: | 7980 State Route 12 Barneveld, NY - 133042536 |
| Business Phone Number: | 3156248440 |
| Business Fax Number: | 3156248450 |
| Mailing Address: | Po Box 5029, UTICA |
| State: | NY |
| Postal Code: | 135045029 |
| Phone Number: | 3156248440 |
| Fax Number: | 3156248450 |
| NPI Enumeration Date: | 06/12/2012 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 337318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |