Individual
LAURA K BOWEN
Active
Individual
LAURA K BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
660504
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024173618
VA
367500000X
Certified Registered Nurse Anesthetist
4087
CA
Other
Enumeration date
04/28/2011
Last updated
03/17/2018
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