Individual
ANGELA J BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 COLUMBUS BLVD, KOKOMO, IN 46901-6455
(765) 453-1254
(765) 864-8732
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002212B
IN
363LF0000X
Family Nurse Practitioner
Primary
71002212A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200842860
—
IN
01
—
P01832344
RR PTAN
IN
Enumeration date
11/10/2006
Last updated
03/25/2024
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