Individual
MRS. MARCIA BOWERS
Active
Individual
MRS. MARCIA BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R118860
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291736
AMERIGROUP PROVIDER NUMBE
MD
05
—
4084403 00
—
MD
Enumeration date
09/20/2006
Last updated
05/16/2013
Update your record
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