Provider Demographics
NPI:1629689278
Name:BOWMAN, FRAN SHANTLAWAN
Entity Type:Individual
Prefix:
First Name:FRAN
Middle Name:SHANTLAWAN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 HARTFORD ST SE APT 403
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7965
Mailing Address - Country:US
Mailing Address - Phone:202-910-3754
Mailing Address - Fax:
Practice Address - Street 1:2306 HARTFORD ST SE APT 403
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7965
Practice Address - Country:US
Practice Address - Phone:202-910-3754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA0000607539376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide