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NPI Code Detail

MEDICARE: HEATHER GABRIELLE BOWERS APRN, AGACNP-BC

MEDICARE: HEATHER GABRIELLE BOWERS APRN, AGACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner0024197044VA
2363LA2100XAcute Care Nurse Practitioner3917SC
3363L00000XNurse Practitioner1336376607OH
4363LA2100XAcute Care Nurse Practitioner5019911NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01110787OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336376607
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER GABRIELLE BOWERS APRN, AGACNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 220 N MAIN ST STE 500
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2129
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2009
Last Update Date : 04/13/2026

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