Healthcare Provider Details

I. General information

NPI: 1487108676
Provider Name (Legal Business Name): ALLISON RENEE BOWER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 W MILLER ST # MP326
ORLANDO FL
32806-2031
US

IV. Provider business mailing address

83 W MILLER ST # MP326
ORLANDO FL
32806-2031
US

V. Phone/Fax

Practice location:
  • Phone: 321-842-9863
  • Fax: 321-843-2068
Mailing address:
  • Phone: 321-842-9863
  • Fax: 321-843-2068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP2048842
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN2048842
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP2048842
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: