Provider Demographics
NPI:1275767808
Name:BOWERS, QUINN MARQUIS (RN)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:MARQUIS
Last Name:BOWERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SUDBROOK LN
Mailing Address - Street 2:# 3
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4117
Mailing Address - Country:US
Mailing Address - Phone:443-253-2940
Mailing Address - Fax:443-817-0893
Practice Address - Street 1:4 SUDBROOK LN
Practice Address - Street 2:# 3
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4117
Practice Address - Country:US
Practice Address - Phone:443-253-2940
Practice Address - Fax:443-817-0893
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2012-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR184525163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse