Provider Demographics
NPI:1760423776
Name:BOWMAN, DORAN ARTHUR (RN)
Entity Type:Individual
Prefix:
First Name:DORAN
Middle Name:ARTHUR
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 ELDORADO RD
Mailing Address - Street 2:
Mailing Address - City:FEDERALSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21632
Mailing Address - Country:US
Mailing Address - Phone:410-754-5345
Mailing Address - Fax:
Practice Address - Street 1:606 SUNNYSIDE AVE
Practice Address - Street 2:CAROLINE CO MENTAL HEALTH CLINIC
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629
Practice Address - Country:US
Practice Address - Phone:410-479-3800
Practice Address - Fax:410-479-0052
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR100479163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse