Provider Demographics
NPI:1619983707
Name:BOWMAN, NANCY (LISW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 1/2 MIAMI MNR
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3755
Mailing Address - Country:US
Mailing Address - Phone:419-897-9031
Mailing Address - Fax:
Practice Address - Street 1:611 1/2 MIAMI MNR
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-3755
Practice Address - Country:US
Practice Address - Phone:419-897-9031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0007301104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker