Healthcare Provider Details

I. General information

NPI: 1720901044
Provider Name (Legal Business Name): AMANDA LOUISE BOWERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 W HARRIS ST
EUREKA CA
95503-3927
US

IV. Provider business mailing address

92 ROBERT CT E
ARCATA CA
95521-5224
US

V. Phone/Fax

Practice location:
  • Phone: 707-269-7521
  • Fax:
Mailing address:
  • Phone: 510-910-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95098768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: