Provider Demographics
NPI:1083991590
Name:BOWDEN-EVANS, ANDREA G (CRNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:G
Last Name:BOWDEN-EVANS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 MCFARLAND BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3275
Mailing Address - Country:US
Mailing Address - Phone:205-330-4959
Mailing Address - Fax:205-330-4992
Practice Address - Street 1:1325 MCFARLAND BLVD STE 206
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3275
Practice Address - Country:US
Practice Address - Phone:205-330-4959
Practice Address - Fax:205-330-4992
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-054401364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health