Individual
JANICE BOWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
130 NORTH ST, WALTON, NY 13856-1218
(607) 865-6541
(607) 865-1964
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 865-6541
(607) 865-9164
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02282066
—
NY
Enumeration date
06/07/2006
Last updated
10/05/2007
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