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Individual

MARIYA V BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS & CLINICS OF MN EMERG PHYS STPL, ST PAUL, MN 55102
(651) 220-6914
Mailing address
2910 CENTRE POINTE DRIVE, 35 121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1706714
MN
363LP0200X
Pediatric Nurse Practitioner
R1706714
MN
363LP2300X
Primary Care Nurse Practitioner
R1706714
MN

Other

Enumeration date
11/01/2006
Last updated
09/11/2025
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