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Individual

MARCIA EMILY BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN87094
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA243039
ME

Other

Enumeration date
07/28/2023
Last updated
08/29/2024
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