Individual
JOSEPH BONIFACE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3373 GLEN EDEN QUAY, VIRGINIA BEACH, VA 23452-6241
(757) 618-5134
Mailing address
3373 GLEN EDEN QUAY, VIRGINIA BEACH, VA 23452-6241
(757) 618-5134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177991
VA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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