Healthcare Provider Details

I. General information

NPI: 1346195856
Provider Name (Legal Business Name): YANA BOWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 LIBERTY ST
CLAY CENTER KS
67432-1564
US

IV. Provider business mailing address

617 LIBERTY ST
CLAY CENTER KS
67432-1564
US

V. Phone/Fax

Practice location:
  • Phone: 785-632-2181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-85358-121
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number13-136213-121
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: