Provider Demographics
NPI:1225698145
Name:BOWMAN, CINDRA LYNN (LPN)
Entity Type:Individual
Prefix:MS
First Name:CINDRA
Middle Name:LYNN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:CINDRA
Other - Middle Name:LYNN
Other - Last Name:MORFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4144 ALVIN ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3021
Mailing Address - Country:US
Mailing Address - Phone:810-449-1478
Mailing Address - Fax:
Practice Address - Street 1:4144 ALVIN ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3021
Practice Address - Country:US
Practice Address - Phone:810-449-1478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703094470164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse