Bowan, Nicole M

Bowan, Nicole M is an individual health care provider with primary practice located at 5500 Brooktree Rd Ste 201, Wexford PA 15090-9260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bowan, Nicole M can be contacted via phone (724) 933-1420.

Contact Information

Primary practice address
5500 Brooktree Rd Ste 201 Wexford PA 15090-9260
Phone: (724) 933-1420
Fax: (724) 933-1439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 890 Tennessee

Profile Details

NPI number 1295731693
LBN Legal business name Bowan, Nicole M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 24th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295731693 NPPES
Tennessee MEDICAID 3374865

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