Individual
MRS. LAURA K BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
415 N 9TH ST # 4W64, SPRINGFIELD, IL 62702-5303
(217) 545-8000
Mailing address
201 E MADISON ST, SPRINGFIELD, IL 62702-5131
(217) 545-3787
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209-006714
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
209006714041325322
IL
Other
Enumeration date
11/20/2009
Last updated
03/15/2021
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