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NPI Code Detail

MEDICARE: MELISSA BOWEN DNP

MEDICARE: MELISSA BOWEN DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-177461MT

General Provider Information

NPI Number : 1003581489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BOWEN DNP
Provider Business Mailing Address
First Line : 915 HIGHLAND BLVD
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number : 406-414-5000
Fax Number :
Provider Business Practice Location Address
First Line : 875 S COTTONWOOD RD STE 200
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-4222
Country : US
Telephone Number : 406-414-5336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2021
Last Update Date : 04/09/2025

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