Individual
SHANNON BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
651 CENTRE VIEW BOULEVARD, CRESTVIEW HILLS, KY 41017-5423
(859) 344-1900
(859) 344-4632
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-1900
(859) 344-4632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1115588
KY
363L00000X
Nurse Practitioner
Primary
3014133
KY
Other
Enumeration date
12/03/2019
Last updated
12/13/2019
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