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NPI Code Detail

MEDICARE: ESTHER BOWUO

MEDICARE:   ESTHER  BOWUO
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95027569CA

General Provider Information

NPI Number : 1720843840
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER BOWUO
Provider Business Mailing Address
First Line : 5900 BROCKTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-1862
Country : US
Telephone Number : 951-595-9774
Fax Number :
Provider Business Practice Location Address
First Line : 510 PLAZA DR STE 170
Second Line :
City : FOLSOM
State : CA
Zip : 95630-4790
Country : US
Telephone Number : 916-351-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2024
Last Update Date : 04/08/2026

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Directions to “ ESTHER BOWUO ” Practice Location

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