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General NPI Number Information
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NPI Number | 1578949202
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Entity Type | Individual
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Provider Name | MELISSA BOWMAN PPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 4015 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1119
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Country | US
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Telephone | 806-725-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 MOUNTAIN ROAD PL NE STE N
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7845
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Country | US
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Telephone | 575-298-7788
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F382542-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 83179
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F407046
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP132564
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License Number State | TX
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