Provider Demographics
NPI:1790800084
Name:BOWMAN, DEBORAH ANN (PHD, NP)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PHD, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 NELLEN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1104
Mailing Address - Country:US
Mailing Address - Phone:415-216-5664
Mailing Address - Fax:415-692-8194
Practice Address - Street 1:150 NELLEN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1104
Practice Address - Country:US
Practice Address - Phone:415-216-5664
Practice Address - Fax:415-692-8194
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP 15494363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner