Provider Demographics
NPI:1699664847
Name:BOWENS, TONYA ANITRA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:ANITRA
Last Name:BOWENS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 ROCK GLENN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2041
Mailing Address - Country:US
Mailing Address - Phone:443-794-1843
Mailing Address - Fax:
Practice Address - Street 1:2013 ROCK GLENN BLVD
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2041
Practice Address - Country:US
Practice Address - Phone:443-794-1843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156374363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health