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Individual

MRS. AMY KRISTINA BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN 2112
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1307
SC
01
SC21665019
MEDICARE PIN
SC
01
SC21668510
MEDICARE PIN
SC
01
SC21669068
MEDICARE PIN
SC
Enumeration date
03/02/2007
Last updated
10/10/2023
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