Individual
KATHLEEN A BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401
(207) 945-5247
(207) 990-1248
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP81796
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432340099
—
ME
01
—
AP081796
APRN
ME
Enumeration date
08/19/2006
Last updated
03/07/2023
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