Provider Demographics
NPI:1043371354
Name:BOWLES, MARGARET I (ARNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:I
Last Name:BOWLES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7019 47TH AVE SW
Mailing Address - Street 2:UNIT 3
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1764
Mailing Address - Country:US
Mailing Address - Phone:509-930-4172
Mailing Address - Fax:206-938-3521
Practice Address - Street 1:5410 CALIFORNIA AVE SW
Practice Address - Street 2:SUITE 102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1562
Practice Address - Country:US
Practice Address - Phone:206-935-1111
Practice Address - Fax:206-935-1128
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2009-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003693363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS97485Medicare UPIN