Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 308420 | NY |
Y | 363LA2200X | Nurse Practitioner - Adult Health | R232747 | MD |
NPI | 1013439561 |
---|---|
Provider Name | Ms. Carla Schell Bowling |
First Address | Hanover, MD 21076-1343 |
Second Address | Prince Frederick, MD 20678-4018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2017 |
Last Update Date | 06/08/2020 |