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Individual

TRACEY ANN BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN CNM ARNP

Contact information

Practice address
24 PENNACOOK ST, MANCHESTER, NH 03104-3554
(603) 669-7321
(603) 621-0097
Mailing address
784 HERCULES DR, STE 110, COLCHESTER, VT 05446-8049
(802) 448-9719
(802) 660-9438

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
03257721
NH
367A00000X
Advanced Practice Midwife
Primary
0325772301
NH
367A00000X
Advanced Practice Midwife
101.0105155
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1243285
AETNA
05
30340425
NH
01
4007922Y0NH01
WOMEN'S WAY MIDWIFERY
01
4007922Y0NH05
ANTHEM
01
58509
BCBS OF VERMONT
01
58510
WOMEN'S WAY MIDWIFERY
01
648836
TUFTS
01
7652101
CIGNA
01
AA11041
HARVARD PILGRIM WOMENS WA
01
AA48590
HARVARD PILGRIM
Enumeration date
12/11/2006
Last updated
03/31/2016
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