Individual
JOAN MARIE MASON BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3400 W 66TH ST, STE 290, EDINA, MN 55435-2111
(952) 914-1720
Mailing address
3400 W 66TH ST, STE 290, EDINA, MN 55435-2111
(952) 914-1720
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R108944-4
MN
Other
Enumeration date
06/12/2012
Last updated
02/07/2013
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