Healthcare Provider Details

I. General information

NPI: 1750799466
Provider Name (Legal Business Name): EMILY BOWDEN RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 PARK BEND DR STE 201
AUSTIN TX
78758-5388
US

IV. Provider business mailing address

PO BOX 117475
CARROLLTON TX
75011-7475
US

V. Phone/Fax

Practice location:
  • Phone: 210-495-7245
  • Fax: 210-495-7246
Mailing address:
  • Phone: 210-495-7246
  • Fax: 210-495-7245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberAP126049
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP126049
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP126049
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: