Provider Demographics
NPI:1316572613
Name:BOWDEN, BARTINA SHAREE
Entity Type:Individual
Prefix:
First Name:BARTINA
Middle Name:SHAREE
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 TWISTED OAKS RD APT 104
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-7317
Mailing Address - Country:US
Mailing Address - Phone:704-975-0337
Mailing Address - Fax:
Practice Address - Street 1:4708 TWISTED OAKS RD APT 104
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-7317
Practice Address - Country:US
Practice Address - Phone:704-975-0337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion