Provider Demographics
NPI:1265017487
Name:BOWLER, LEAH HONKANEN (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:HONKANEN
Last Name:BOWLER
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:HONKANEN
Other - Last Name:BOWLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:68 LEDGE VIEW DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1283
Mailing Address - Country:US
Mailing Address - Phone:256-684-4085
Mailing Address - Fax:
Practice Address - Street 1:250 CHATEAU DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6436
Practice Address - Country:US
Practice Address - Phone:256-881-9997
Practice Address - Fax:256-880-3838
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-183796363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health