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Individual

PEGGY W BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-1625
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP3280582
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN272023
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497739676
NPI
05
1497739676
FL
05
306375500
FL
01
G2678
BCBS
FL
Enumeration date
12/01/2005
Last updated
03/12/2025
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