Individual
CLIFFORD A BOWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3746
Mailing address
12099 N BATESON CT, CAMBY, IN 46113-8639
(931) 302-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161413
TN
163W00000X
Registered Nurse
28258554A
IN
363LF0000X
Family Nurse Practitioner
25636
TN
363LF0000X
Family Nurse Practitioner
Primary
71010006A
IN
Other
Enumeration date
04/06/2019
Last updated
12/22/2020
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