Individual
LAUREN H BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
490 W ZIA RD # A, SANTA FE, NM 87505-6996
(505) 913-3361
Mailing address
1024 DON CUBERO AVE, SANTA FE, NM 87505-1619
(585) 704-5376
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
58170
NM
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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