Individual
LAURIE REYNOLDS BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
216 MOORE RD, KING, NC 27021-8703
(336) 983-4346
(336) 985-5101
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 983-4346
(336) 985-5101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004893
NC
363LF0000X
Family Nurse Practitioner
5004893
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005246
—
NC
Enumeration date
10/01/2010
Last updated
10/25/2020
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