Kashanti Shanti Bowden
Nurse Practitioner - Pediatrics
6910 Old Wolf Bay Rd
Palatka
, Florida 32177-6800
Kashanti Shanti Bowden
Nurse Practitioner - Pediatrics
6910 Old Wolf Bay Rd
Palatka
, Florida 32177-6800
(407) 375-1195
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Kashanti Shanti Bowden
- 6548 Sand Lake Sound Rd Unit 5220
- Orlando, FL
- Zip : 32819-7639
- Phone : (407) 375-1195
Second Address
- Kashanti Shanti Bowden
- 6910 Old Wolf Bay Rd
- Palatka, FL
- Zip : 32177-6800
- Phone : (386) 328-7337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN11011957 | FL |
National Provider Identifier
| NPI | 1023682705 |
|---|---|
| Provider Name | Kashanti Shanti Bowden |
| First Address | Orlando, FL 32819-7639 |
| Second Address | Palatka, FL 32177-6800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2021 |
| Last Update Date | 17/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.