Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 08791 | OH |
NPI | 1033172325 |
---|---|
Provider Name | Elizabeth B Bowe |
First Address | Cleveland, OH 44194-0730 |
Second Address | Mayfield Heights, OH 44124-2203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2006 |
Last Update Date | 28/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2569751 | (05) | OH |
Q46068 | (02) | OH |