Individual
DENEEN D BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
188 HAWK RD, FULTON, NY 13069-4497
(315) 297-9109
Mailing address
21 N 2ND ST, FULTON, NY 13069-1250
(315) 598-7105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
593128
NY
207QA0505X
Adult Medicine Physician
Primary
354709
NY
Other
Enumeration date
07/05/2024
Last updated
04/09/2025
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