Individual
SHERRI M BOWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
310 E TORRANCE AVE, PONTIAC, IL 61764-2748
(815) 844-6109
(815) 844-3561
Mailing address
PO BOX 768, PONTIAC, IL 61764-0768
(815) 844-6109
(815) 844-3561
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209016430
IL
Other
Enumeration date
08/29/2017
Last updated
02/04/2020
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