Individual
MRS. NICHELLE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2215 FULLER RD, RADIATION ONCOLOGY 114B, ANN ARBOR, MI 48105
(734) 845-3914
(734) 845-3826
Mailing address
2215 FULLER RD, RADIATION ONCOLOGY 114B, ANN ARBOR, MI 48105
(734) 845-3914
(734) 845-3826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704235958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704235958
BOARD OF NURSING REGISTERED NURSE LICENSE
MI
Enumeration date
06/18/2010
Last updated
06/18/2010
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