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Individual

NATHAN BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
925 WEST ST, ANESTHESIA DEPARTMENT, PERU, IL 61354-2757
(812) 223-3300
(815) 224-6763
Mailing address
925 WEST ST, ANESTHESIA DEPARTMENT, PERU, IL 61354-2757
(812) 223-3300
(815) 224-6763

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012573
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041410819
REGISTERED PROFESSIONAL NURSE
IL
01
209012573
APN
IL
Enumeration date
03/27/2015
Last updated
03/27/2015
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