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Individual

DEBORAH A. BOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP733572
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009959250
AL
05
303918800
FL
01
430067491
RAILROAD MEDICARE
FL
01
59051229
BLUECROSS & BLUESHIELD
AL
01
G2867
BLUECROSS & BLUESHIELD
FL
Enumeration date
08/12/2005
Last updated
11/08/2011
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