Healthcare Provider Details

I. General information

NPI: 1821914870
Provider Name (Legal Business Name): OSHENNA BOWMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OPTUM CIR
EDEN PRAIRIE MN
55344-2956
US

IV. Provider business mailing address

1 OPTUM CIR
EDEN PRAIRIE MN
55344-2956
US

V. Phone/Fax

Practice location:
  • Phone: 888-445-8745
  • Fax:
Mailing address:
  • Phone: 888-445-8745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR246078
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: