Individual
AMY RENAE BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1143 E WALNUT ST, WEST UNION, OH 45693-9333
(937) 544-1620
Mailing address
6429 STAPLETON CT, HAMILTON, OH 45011-6459
(513) 844-1828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102275
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2417405
INDEPENDANT PROVIDER NUMB
OH
01
—
PN102275
LPN NUMBER
OH
Enumeration date
08/05/2006
Last updated
07/08/2007
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