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NPI Code Detail

MEDICARE: BOWEN MEDICAL, PLLC

MEDICARE: BOWEN MEDICAL, PLLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1477388841
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOWEN MEDICAL, PLLC
Provider Business Mailing Address
First Line : 21035 N CAVE CREEK RD STE 5C
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5522
Country : US
Telephone Number : 602-402-8048
Fax Number :
Provider Business Practice Location Address
First Line : 21035 N CAVE CREEK RD STE 5C
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5522
Country : US
Telephone Number : 602-602-4028
Fax Number :
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER/OWNER
Name : MARISSA Y BOWEN
Credential : FNP-C
Telephone Number : 602-402-8048
Provider Enumeration Date : 09/05/2024
Last Update Date : 05/06/2026

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Directions to “BOWEN MEDICAL, PLLC ” Practice Location

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