Individual
HANS G BOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-C
Contact information
Practice address
100 CAMPUS DR, SUITE 125, SCARBOROUGH, ME 04074-7171
(207) 883-0069
(207) 883-0099
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
CNP81046
ME
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81046
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432040399
—
ME
Enumeration date
01/24/2006
Last updated
06/12/2019
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