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NPI Code Detail

MEDICARE: ERIC E BOWERS CNP

MEDICARE: ERIC E BOWERS CNP
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
1363LA2100XAcute Care Nurse Practitioner020915OH
2363L00000XNurse PractitionerRN.322834OH
3363LA2200XAdult Health Nurse PractitionerAPRN.CNP.020915OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093243420
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC E BOWERS CNP
Provider Business Mailing Address
First Line : 3131 NEWMARK DR STE 220
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-5400
Country : US
Telephone Number : 937-436-4658
Fax Number : 937-436-4984
Provider Business Practice Location Address
First Line : 4790 COTTONVILLE RD
Second Line :
City : JAMESTOWN
State : OH
Zip : 45335-1518
Country : US
Telephone Number : 937-675-2870
Fax Number : 937-675-2873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 11/13/2024

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1720408768 — MARCIA WILLIAMS CNP
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1346728730 — KRYSTA MYCHAL COOPER APRN, CNP
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1518524065 — MRS. ANGELA RENEE' PAUGH APRN-CNP
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1386281574 — GREENE MEMORIAL HOSPITAL, INC.
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