Individual
DUSTIN BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
4427 KINGS BARN CT, FORT MYERS, FL 33916-8033
(239) 318-5809
Mailing address
4427 KINGS BARN CT UNIT 402, FORT MYERS, FL 33916-8035
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11027437
FL
Other
Enumeration date
07/11/2023
Last updated
06/05/2024
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