Healthcare Provider Details

I. General information

NPI: 1356693550
Provider Name (Legal Business Name): DINA BITAR BOWEN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E WALKER ST STE A
ORLAND CA
95963-2222
US

IV. Provider business mailing address

7 BAY GULL CT
DAYTONA BEACH FL
32119-8306
US

V. Phone/Fax

Practice location:
  • Phone: 530-865-4400
  • Fax: 844-749-4455
Mailing address:
  • Phone: 386-562-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11039631
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038287
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9298522
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: