Provider Demographics
NPI:1639586936
Name:BOWERS, ALLISON L (CNM)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:BOWERS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:L
Other - Last Name:CORNOYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM
Mailing Address - Street 1:1 SEAGATE STE 800
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1992
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:2150 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3834
Practice Address - Country:US
Practice Address - Phone:419-291-2192
Practice Address - Fax:419-479-3297
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNM2040367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0117334Medicaid