Healthcare Provider Details

I. General information

NPI: 1023845716
Provider Name (Legal Business Name): MELANIE ANNE BOWDY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 POST RD STE 203
WESTERLY RI
02891-6601
US

IV. Provider business mailing address

268 POST RD STE 203
WESTERLY RI
02891-6601
US

V. Phone/Fax

Practice location:
  • Phone: 401-604-2530
  • Fax:
Mailing address:
  • Phone: 401-604-2530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN04205
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: