Individual
BETHANY ILENE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1418 CROSS ST STE 250, SHILOH, IL 62269-2965
(618) 236-8000
Mailing address
1418 CROSS ST STE 250, SHILOH, IL 62269-2965
(618) 236-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209011356
IL
363LF0000X
Family Nurse Practitioner
209011356
IL
Other
Enumeration date
03/19/2014
Last updated
10/04/2023
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