Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 78-49 | WI |
NPI | 1114203932 |
---|---|
Provider Name | Avril G. E Bowens |
First Address | Otto, NC 28763-8114 |
Second Address | Otto, NC 28763-8114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2011 |
Last Update Date | 25/10/2011 |