Individual
AMBER BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 N. FAIRLAND, PRYOR, OK 74361
(918) 825-1405
Mailing address
109 N. FAIRLAND, PRYOR, OK 74361-4203
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
126097
OK
Other
Enumeration date
12/22/2017
Last updated
06/11/2018
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