Provider Demographics
NPI:1255649893
Name:BOWERS, LEE ANN H (RN-C, MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:LEE ANN
Middle Name:H
Last Name:BOWERS
Suffix:
Gender:F
Credentials:RN-C, MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3765 AMANDA CLEARPORT RD SW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8134
Mailing Address - Country:US
Mailing Address - Phone:740-969-4790
Mailing Address - Fax:
Practice Address - Street 1:3765 AMANDA CLEARPORT RD SW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8134
Practice Address - Country:US
Practice Address - Phone:740-969-4790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 173296-COA-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily