Individual
CARLY R BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACITIONER
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 689-3675
Mailing address
2034 PRESIDENT PL, COSTA MESA, CA 92627-4044
(815) 993-1163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006565
CA
Other
Enumeration date
08/18/2017
Last updated
05/02/2025
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