Individual
MISS CATHLEEN PENNY MONICA BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1555 N RIVERCENTER DR, MILWAUKEE, WI 53212-3981
(414) 223-4847
(414) 231-1092
Mailing address
2363 N 47TH ST, MILWAUKEE, WI 53210-2923
(414) 975-9216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
145760-30
WI
363LF0000X
Family Nurse Practitioner
Primary
6910-33
WI
363LP2300X
Primary Care Nurse Practitioner
6910-33
WI
Other
Enumeration date
05/26/2016
Last updated
11/27/2016
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