Individual
GEMMA V BOWERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2355 N WYATT DR, SUITE 101, TUCSON, AZ 85712-2120
(520) 616-4948
(520) 616-4958
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132854
AZ
363LF0000X
Family Nurse Practitioner
Primary
3756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
568360
—
AZ
Enumeration date
10/13/2010
Last updated
07/12/2012
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