Provider Demographics
NPI:1831493139
Name:BOWERS, CATHERINE I (RD)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:I
Last Name:BOWERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:2501 WINDY RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-1532
Mailing Address - Country:US
Mailing Address - Phone:757-288-2195
Mailing Address - Fax:
Practice Address - Street 1:2501 WINDY RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-1532
Practice Address - Country:US
Practice Address - Phone:757-288-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered