Individual
HEATHER RENEA BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5435 EMERSON WAY STE 100, INDIANAPOLIS, IN 46226-1470
(812) 568-2222
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71009688A
IN
Other
Enumeration date
02/04/2020
Last updated
04/03/2023
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