MEDICARE: ALICE BOWLAND CNM

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	176B00000X	Midwife	423	CA

General Provider Information

NPI Number	:	1881737161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE BOWLAND CNM

Provider Business Mailing Address
First Line	:	225 PROSPECT HTS
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95065-1328
Country	:	US
Telephone Number	:	831-476-6755
Fax Number	:	831-476-6755

Provider Business Practice Location Address
First Line	:	225 PROSPECT HTS
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95065-1328
Country	:	US
Telephone Number	:	831-476-6755
Fax Number	:	831-476-6755

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	07/21/2008

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