Provider Demographics
NPI:1326672338
Name:BOWERS, CHRISTINA SHELLAI (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:SHELLAI
Last Name:BOWERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 CENTURA ST W
Mailing Address - Street 2:
Mailing Address - City:DANNEBROG
Mailing Address - State:NE
Mailing Address - Zip Code:68831-3134
Mailing Address - Country:US
Mailing Address - Phone:308-258-2818
Mailing Address - Fax:
Practice Address - Street 1:908 N HOWARD AVE STE 109
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-3529
Practice Address - Country:US
Practice Address - Phone:308-398-5522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE75991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily