Individual
MISTY DAWN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2903 1ST AVE, LAKE CHARLES, LA 70601-8809
(337) 478-6480
(337) 474-9637
Mailing address
2903 1ST AVE, LAKE CHARLES, LA 70601-8809
(337) 478-6480
(337) 474-9637
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP05308
LA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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