Individual
DEANNA KIM BOWEN
Active
Individual
DEANNA KIM BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
501464
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
501464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166253803
—
TX
05
—
166253804
—
TX
05
—
166253805
—
TX
01
—
NP7208
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/10/2006
Last updated
09/02/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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