MEDICARE: MARISSA YVONNE BOWEN FNP

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	363L00000X	Nurse Practitioner	APTP.N3.7006615	WA
2	163W00000X	Registered Nurse	RN183982	AZ
3	363L00000X	Nurse Practitioner	TEMP86637	NM
4	363L00000X	Nurse Practitioner	F06200038	AZ
5	363L00000X	Nurse Practitioner	C-APN.0105377-C-NP	CO
6	363L00000X	Nurse Practitioner	TEMP895290	NV

General Provider Information

NPI Number	:	1215551213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA YVONNE BOWEN FNP

Provider Business Mailing Address
First Line	:	3201 W PEORIA AVE STE C500
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4600
Country	:	US
Telephone Number	:	602-402-8048
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 W PEORIA AVE STE C500
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4600
Country	:	US
Telephone Number	:	602-402-8048
Fax Number	:

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

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	04/06/2026

Similar Medicare Providers

1619074358 — DR. DONNI T FLEISCHAKER MD
Practice Location Address:

3201 W PEORIA AVE STE D805
PHOENIX, AZ
85029-4600

Practice Phone: 602-569-5437
Practice Fax:

1790183564 — DESERT VIEW MEDICAL CENTER AND PEDIATRICS, CORP
Practice Location Address:

3201 W PEORIA AVE STE D805
PHOENIX, AZ
85029-4600

Practice Phone: 602-279-2400
Practice Fax: 602-279-5890

1023574324 — IMPULSE HEALTHCARE, PLLC
Practice Location Address:

3201 W PEORIA AVE STE C500
PHOENIX, AZ
85029-4600

Practice Phone: 602-699-6353
Practice Fax: 602-699-6354

1962147694 — NEW HORIZON MEDICAL CENTER, LLC
Practice Location Address:

3201 W PEORIA AVE STE D805
PHOENIX, AZ
85029-4600

Practice Phone: 602-569-5437
Practice Fax: 855-583-3686

1902518988 — NOVA MEDICAL ASSOCIATES, LLC
Practice Location Address:

3201 W PEORIA AVE STE D805
PHOENIX, AZ
85029-4600

Practice Phone: 602-569-5437
Practice Fax: 855-583-3686

1982303368 — SHALISSA MARIE EASLEY FNP-C
Practice Location Address:

3201 W PEORIA AVE STE C500
PHOENIX, AZ
85029-4600

Practice Phone: 623-773-2000
Practice Fax:

Directions to “ MARISSA YVONNE BOWEN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.