Healthcare Provider Details

I. General information

NPI: 1205791860
Provider Name (Legal Business Name): DONNA L BOWERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10901 E 48TH ST
TULSA OK
74146-5830
US

IV. Provider business mailing address

13592 S 321ST EAST AVE
COWETA OK
74429-5793
US

V. Phone/Fax

Practice location:
  • Phone: 918-392-2205
  • Fax: 918-675-7595
Mailing address:
  • Phone: 918-392-2202
  • Fax: 918-675-7595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WU0100X
TaxonomyUrology Registered Nurse
License NumberR0066163
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: