Doctor Name: | MS. CELESTE ROCHELLE BOWEN |
NPI Number: | 1780049197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 707679-1 |
Business Practice Address: | 417 3rd St Greenport, NY - 119441313 |
Business Phone Number: | 6314026631 |
Business Fax Number: | |
Mailing Address: | Po Box 95, GREENPORT |
State: | NY |
Postal Code: | 119440095 |
Phone Number: | 6314026631 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2015 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 707679-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |