Provider Demographics
NPI:1841560877
Name:BOWMAN, DIANA COCHRAN (FNP, AGACNP)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:COCHRAN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:FNP, AGACNP
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:MARIE
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, AGACNP
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-945-6273
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-1606
Practice Address - Country:US
Practice Address - Phone:813-945-6273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011039955363L00000X
KS76036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner