# MARK BOWERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316338924
- **Gender:** Man
- **Credential:** FPMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2009019530 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2015003166 | MO | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 07/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 420020142 | — | MO |