Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN11013496 | FL |
NPI | 1053989574 |
---|---|
Provider Name | Christina Bowens |
First Address | Spring Hill, FL 34609-8102 |
Second Address | New Port Richey, FL 34655-1105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2021 |
Last Update Date | 11/06/2021 |