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NPI Code Detail

MEDICARE: MIRANDA NICHOLE BOWEN-PERKINS APRN

MEDICARE:   MIRANDA NICHOLE BOWEN-PERKINS  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
1363L00000XNurse PractitionerA004597AR

General Provider Information

NPI Number : 1972976025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA NICHOLE BOWEN-PERKINS APRN
Provider Business Mailing Address
First Line : 2708 S RIFE MEDICAL LN STE T20
Second Line :
City : ROGERS
State : AR
Zip : 72758-1469
Country : US
Telephone Number : 479-338-3781
Fax Number : 479-338-3782
Provider Business Practice Location Address
First Line : 2708 S RIFE MEDICAL LN STE T20
Second Line :
City : ROGERS
State : AR
Zip : 72758-1469
Country : US
Telephone Number : 479-338-3781
Fax Number : 479-338-3782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2015
Last Update Date : 02/18/2026

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Directions to “ MIRANDA NICHOLE BOWEN-PERKINS APRN” Practice Location

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