Individual
MRS. DOMINIQUE BOWMAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, PMHNP
Contact information
Practice address
3401 NORTH BLVD STE 100, BATON ROUGE, LA 70806-3743
(225) 381-2621
(225) 387-7829
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4373
(225) 246-9790
(225) 246-9100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10001
LA
363LP2300X
Primary Care Nurse Practitioner
AP10001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2485385
—
LA
Enumeration date
09/24/2018
Last updated
06/01/2021
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