Individual
MRS. WENDY S BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1516 YANKEE PARK PL, CENTERVILLE, OH 45458-1878
(937) 438-1115
(937) 424-4721
Mailing address
2912 SPRINGBORO W, MORAINE, OH 45439-1674
(937) 297-8999
(937) 298-9673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN253319, NP04921
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000585419
ANTHEM
OH
05
—
2097387
—
OH
01
—
421534506122
CARESOURCE
OH
Enumeration date
09/30/2006
Last updated
11/02/2022
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