Provider Demographics
NPI:1073381380
Name:BOWMAN, WHITNEY R
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:R
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W LARWILL ST
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-3431
Mailing Address - Country:US
Mailing Address - Phone:740-358-2136
Mailing Address - Fax:
Practice Address - Street 1:320 W LARWILL ST
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-3431
Practice Address - Country:US
Practice Address - Phone:740-358-2136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide