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NPI Code Detail

MEDICARE: MISS SHIRLANE A BOWEN APN

MEDICARE:  MISS SHIRLANE A BOWEN  APN
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 Practitioner26NJ00522800NJ
2363LP2300XPrimary Care Nurse Practitioner26NJ00522800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11114394988OTHERFAMILY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114394988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHIRLANE A BOWEN APN
Provider Business Mailing Address
First Line : 3 CROMWELL CT
Second Line :
City : EWING
State : NJ
Zip : 08628-2223
Country : US
Telephone Number : 609-638-0836
Fax Number :
Provider Business Practice Location Address
First Line : 2703 US HIGHWAY 130 STE 100
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-4721
Country : US
Telephone Number : 732-934-4892
Fax Number : 732-838-1905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2015
Last Update Date : 08/28/2023

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Directions to “ MISS SHIRLANE A BOWEN APN” Practice Location

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