Provider Demographics
NPI:1326555780
Name:BOWEN, BRITTANY MICHELLE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:MICHELLE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MEDICAL PARK DR E STE 307
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3432
Mailing Address - Country:US
Mailing Address - Phone:205-838-3047
Mailing Address - Fax:
Practice Address - Street 1:52 MEDICAL PARK DR E STE 307
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3432
Practice Address - Country:US
Practice Address - Phone:205-838-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-130944363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology