Individual
MR. ANDREW JOSEPH BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8500
(765) 485-8509
Mailing address
1800 BEECHWOOD DR, LAFAYETTE, IN 47905-4159
(765) 448-6509
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71002461A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000639992
ANTHEM PROVIDER NUMBER
IN
05
—
PENDING
—
IN
Enumeration date
02/10/2008
Last updated
02/12/2010
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