Provider Demographics
NPI:1487207577
Name:BOWMAN, ELIZABETH KEELEY (RN, DNP, WHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KEELEY
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:RN, DNP, WHNP-BC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:KEELEY
Other - Last Name:HARGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, DNP, WHNP-BC
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:NOME
Mailing Address - State:AK
Mailing Address - Zip Code:99762-0966
Mailing Address - Country:US
Mailing Address - Phone:907-443-3311
Mailing Address - Fax:
Practice Address - Street 1:1000 GREG KRUSCHEK AVENUE
Practice Address - Street 2:
Practice Address - City:NOME
Practice Address - State:AK
Practice Address - Zip Code:99762
Practice Address - Country:US
Practice Address - Phone:907-443-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8193363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health