Individual
MRS. STACIE ELIZABETH BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 902-5552
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.029285
IL
Other
Enumeration date
02/08/2024
Last updated
04/17/2024
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