Provider Demographics
NPI:1184681694
Name:BOWERS, JANET SUE PASQUALI (APRN, CNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:SUE PASQUALI
Last Name:BOWERS
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:EPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7800 NW 85TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-3385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3306 N KICKAPOO AVE
Practice Address - Street 2:SUITE 150 & 154
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1702
Practice Address - Country:US
Practice Address - Phone:405-628-6535
Practice Address - Fax:405-628-6532
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0047718363L00000X
OK47718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100101530BMedicaid
OK100101530BMedicaid
OK243404203Medicare PIN