Nicole M Bowan is a Medical in Wexford, Pennsylvania. Nicole M Bowan practices all healthcare services and medical treatments related to Medical. The NPI Number for Nicole M Bowan is 1295731693. The last update date is 2009-03-24.
Nicole M Bowan's current location address is 5500 Brooktree Rd, Wexford, Pennsylvania. You can contact this provider via phone number 7249331420 and fax number 7249331439. The mailing address for Nicole M Bowan is 5500 Brooktree Rd, Wexford, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole M Bowan |
|---|---|
| Address | 5500 Brooktree Rd, Wexford, Pennsylvania |
| Phone Number | 7249331420 |
| Fax Number | 7249331439 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1295731693 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2009-03-24 |
Provider Mailing Address Detail
| Address | 5500 Brooktree Rd |
|---|---|
| City | Wexford |
| State | Pennsylvania (PA) |
| Post Code | 1509092600 |
| Phone Number | 7249331420 |
| Fax Number | 7249331439 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 890 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3374865 | TN | -- |
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What is the unique 10-digit identification code issued to Nicole M Bowan by the Centers for Medicare & Medicaid Services?
The Nicole M Bowan has been assigned the NPI (National Provider Identifier) 1295731693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Nicole M Bowan located?
The Nicole M Bowan is located at 5500 Brooktree Rd, Wexford, PA 1509092600.
What is Nicole M Bowan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nicole M Bowan is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295731693 to Nicole M Bowan?
The Centers for Medicare & Medicaid Services originally issued the 1295731693 to Nicole M Bowan on 2005-06-22.
As of what date was the information regarding Nicole M Bowan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicole M Bowan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-24.