Individual
TAFFIE L BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, ARNP
Contact information
Practice address
700 W IRONWOOD DR, SUITE 320, COEUR D ALENE, ID 83814-2656
(208) 625-5250
(208) 625-5251
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP899A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1349000
MEDICARE PTAN
ID
05
—
808290800
—
ID
01
—
G8880415
MEDICARE PTAN
WA
Enumeration date
03/03/2009
Last updated
04/14/2025
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