Individual
ANGELA YVETTE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-8078
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(138) 744-8063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704244884
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704244884
MI
Other
Enumeration date
09/25/2012
Last updated
01/28/2025
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