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NPI Code Detail

MEDICARE: CHRISTIE L BOWER APRN

MEDICARE: CHRISTIE L BOWER APRN
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 Practitioner111238NE
2363L00000XNurse Practitioner111238NE

General Provider Information

NPI Number : 1417228123
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE L BOWER APRN
Provider Business Mailing Address
First Line : 14460 W MAPLE RD
Second Line :
City : OMAHA
State : NE
Zip : 68116-5163
Country : US
Telephone Number : 402-493-0443
Fax Number :
Provider Business Practice Location Address
First Line : 14460 W MAPLE RD
Second Line :
City : OMAHA
State : NE
Zip : 68116-5163
Country : US
Telephone Number : 402-493-0443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2012
Last Update Date : 06/10/2022

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Directions to “ CHRISTIE L BOWER APRN” Practice Location

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