Individual
TIFFANY A BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
300 W 80TH PL STE B, MERRILLVILLE, IN 46410-5476
(219) 323-6522
Mailing address
300 W 80TH PL STE B, MERRILLVILLE, IN 46410-5476
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28166398A
IN
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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