Provider Demographics
NPI:1467874701
Name:BOWERS, VALORIE (RN)
Entity Type:Individual
Prefix:
First Name:VALORIE
Middle Name:
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 1:1 SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14572-9761
Mailing Address - Country:US
Mailing Address - Phone:607-382-3973
Mailing Address - Fax:
Practice Address - Street 1:1 SUNNYSIDE DR
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:NY
Practice Address - Zip Code:14572-9761
Practice Address - Country:US
Practice Address - Phone:607-382-3973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY644356163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse