Individual
MIRANDA NICOLE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9907 POSEIDON DR, ANCHORAGE, AK 99515-4508
(907) 301-7020
(907) 222-1230
Mailing address
610 E 5TH AVE, ANCHORAGE, AK 99501-2731
(907) 258-3498
(907) 222-4796
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
1009140
AK
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
11/02/2011
Last updated
01/02/2020
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