Individual
MELISSA A BOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
23 S PERRY ST, JOHNSTOWN, NY 12095-2316
(518) 736-1500
(518) 762-8194
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 736-1500
(518) 762-8194
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01993677
—
NY
Enumeration date
04/23/2007
Last updated
01/21/2015
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