Individual
MR. ANDREW JOSEPH BOWMAN
Active
Individual
MR. ANDREW JOSEPH BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
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
Update your record
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