Provider Demographics
NPI:1093067480
Name:BOWSHER, SLOANE CATHERINE (DNP)
Entity Type:Individual
Prefix:
First Name:SLOANE
Middle Name:CATHERINE
Last Name:BOWSHER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:SLOANE
Other - Middle Name:CATHERINE
Other - Last Name:MESSITER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2300 SE BRISTOL
Mailing Address - Street 2:#B
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2300 SE BRISTOL
Practice Address - Street 2:#B
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-490-4741
Practice Address - Fax:949-490-4740
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA801631163W00000X
CA95012298363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse