Individual
MISS TYESHA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1691 FORUM PL STE B, WEST PALM BEACH, FL 33401-2336
(561) 412-8992
(401) 238-6057
Mailing address
276 KENSINGTON WAY, ROYAL PALM BEACH, FL 33414-4316
(561) 412-8992
(401) 238-6057
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
ARNP9358144
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9358144
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9358144
FL
Other
Enumeration date
10/30/2015
Last updated
04/03/2023
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