Individual
ALLISON FIELDS BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1023 NEW MOODY LN STE 201, LA GRANGE, KY 40031-9181
(502) 225-5520
(502) 225-5522
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005014
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000512228
ANTHEM
—
01
—
50027831
PASSPORT ADVANTAGE
KY
05
—
7100022190
—
KY
01
—
P00755081
MEDICARE RR
KY
Enumeration date
02/26/2007
Last updated
10/12/2020
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