MEDICARE: BRENDA ANNETTE BOWERS LPN

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
1	164W00000X	Licensed Practical Nurse	LPN.116839.MEDS-IV	OH

General Provider Information

NPI Number	:	1184407967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ANNETTE BOWERS LPN

Provider Business Mailing Address
First Line	:	106 E GAMBIER ST
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-3510
Country	:	US
Telephone Number	:	740-397-2660
Fax Number	:	740-392-3613

Provider Business Practice Location Address
First Line	:	106 EAST GAMBIER STREET
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-3510
Country	:	US
Telephone Number	:	740-397-2660
Fax Number	:	740-392-3613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	01/12/2026

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