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NPI Code Detail

MEDICARE: LAURA KATHLEEN BOWERS APRN-CNP

MEDICARE: LAURA KATHLEEN BOWERS APRN-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
1363L00000XNurse PractitionerAPRN.CNP.09008OH

General Provider Information

NPI Number : 1174692008
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA KATHLEEN BOWERS APRN-CNP
Provider Business Mailing Address
First Line : 3333 BURNET AVE ML 5021
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BURNET AVE ML 2020
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-7181
Fax Number : 513-636-7182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 03/10/2022

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