Individual
MS. NANCY LYNN BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
4875 SUNRISE HWY, SUITE 200, BOHEMIA, NY 11716-4630
(631) 444-4686
(631) 444-4622
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 929-3305
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360043-1
NY
367A00000X
Advanced Practice Midwife
Primary
F000697-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3003683
—
NY
Enumeration date
12/27/2006
Last updated
11/22/2014
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