Individual
ADAM CLINTON BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
14440 DOWDEN DOWNS DR, HAYMARKET, VA 20169-1263
(571) 271-1458
Mailing address
14440 DOWDEN DOWNS DR, HAYMARKET, VA 20169-1263
(571) 271-1458
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002055542
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002055542
LICENSED PRACTICAL NURSE
VA
Enumeration date
09/24/2019
Last updated
09/24/2019
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