Individual
MRS. ANDREA DAWN BOWMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
2601 N MAIN ST, ROCKFORD, IL 61103-3110
(779) 696-0220
(815) 997-5495
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012606
IL
Other
Enumeration date
03/31/2015
Last updated
09/05/2021
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