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Individual

BRENDON BOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-0103
(646) 876-8455
Mailing address
13631 CORELLO DR, HAGERSTOWN, MD 21742-2554

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R213670
MD
363LA2200X
Adult Health Nurse Practitioner
0024194474
VA
363LA2200X
Adult Health Nurse Practitioner
1228096
TX
363LA2200X
Adult Health Nurse Practitioner
333131
AZ
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0035594
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
R213670
MD
363LA2200X
Adult Health Nurse Practitioner
TPAN3792
FL

Other

Enumeration date
10/24/2018
Last updated
03/13/2026
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