Healthcare Provider Details

I. General information

NPI: 1699609602
Provider Name (Legal Business Name): NATANIA M BOWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4254 SUITLAND RD APT 204
SUITLAND MD
20746-2058
US

IV. Provider business mailing address

4254 SUITLAND RD APT 204
SUITLAND MD
20746-2058
US

V. Phone/Fax

Practice location:
  • Phone: 202-702-1316
  • Fax: 202-448-5074
Mailing address:
  • Phone: 202-702-1316
  • Fax: 202-448-5074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number423132362
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: