Individual
SUSAN LYNN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4095 LYTLE RD, WAYNESVILLE, OH 45068-8396
(937) 657-6001
Mailing address
4095 LYTLE RD, WAYNESVILLE, OH 45068-8396
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
RN161941
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177891
—
OH
Enumeration date
08/17/2017
Last updated
08/17/2017
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