Healthcare Provider Details

I. General information

NPI: 1073029310
Provider Name (Legal Business Name): AMBER BOWMAN APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2017
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 E FRANK PHILLIPS BLVD
BARTLESVILLE OK
74006-2406
US

IV. Provider business mailing address

109 N. FAIRLAND
PRYOR OK
74361-4203
US

V. Phone/Fax

Practice location:
  • Phone: 918-332-3600
  • Fax:
Mailing address:
  • Phone: 918-825-1405
  • Fax: 918-825-1406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number230968
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: