Individual
MELANIE D BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006-5683
(830) 267-4575
(830) 267-4575
Mailing address
9229 LBJ FWY, ATTN: POST ACUTE, DALLAS, TX 75243-3405
(682) 236-3656
(214) 570-1692
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP116315
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP116315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189644110
—
TX
01
—
4860806
AETNA
TX
01
—
8KL342
BCBS
TX
Enumeration date
10/09/2007
Last updated
12/31/2019
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