Provider Demographics
NPI:1467538389
Name:BOWER, LINDA F (APRN CNS)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:F
Last Name:BOWER
Suffix:
Gender:F
Credentials:APRN CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:SO HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075
Mailing Address - Country:US
Mailing Address - Phone:413-493-1551
Mailing Address - Fax:413-625-9558
Practice Address - Street 1:27 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:SO HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075
Practice Address - Country:US
Practice Address - Phone:413-493-1551
Practice Address - Fax:413-625-9558
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN105343364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPN0759OtherBCBS
MA1854267Medicaid
MA470065OtherTUFTS
MAM20272Medicare ID - Type Unspecified
MA1854267Medicaid