Provider Demographics
NPI:1497943542
Name:BOWERS, LINDA SUE (CFNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:SUE
Other - Last Name:ABENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12805 ESCANABA DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8628
Mailing Address - Country:US
Mailing Address - Phone:517-975-9750
Mailing Address - Fax:517-975-9777
Practice Address - Street 1:12805 ESCANABA DR
Practice Address - Street 2:SUITE 2
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8628
Practice Address - Country:US
Practice Address - Phone:517-975-9750
Practice Address - Fax:517-975-9777
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704127217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily