Provider Demographics
NPI:1194225839
Name:BOWMAN, YVETTE (LVN)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 BRIARBEND DR APT 123
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2332
Mailing Address - Country:US
Mailing Address - Phone:830-549-0488
Mailing Address - Fax:
Practice Address - Street 1:349 BRIARBEND DR APT 123
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2332
Practice Address - Country:US
Practice Address - Phone:830-549-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX191384164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse