Individual
MARY LYNN BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-8000
Mailing address
PO BOX 1428, LONG BEACH, CA 90801-1428
(562) 933-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
813042
CA
163WP0200X
Pediatric Registered Nurse
Primary
97227
CA
164W00000X
Licensed Practical Nurse
9182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313042
CA BOARD REG NURSES
CA
01
—
9182
CA BOARD NURSE PRACT
CA
01
—
97227
CPNP-PC
CA
05
—
HSP40727F
—
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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