Individual
SUE ELLEN BOWDEN
Active
Individual
SUE ELLEN BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R158735
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403673500
—
MD
01
—
430075595
RAILROAD MEDICARE
—
01
—
C00228
CRNA
VA
Enumeration date
11/28/2005
Last updated
02/13/2009
Update your record
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