Provider Demographics
NPI:1851986632
Name:BOWYER, NANCY SUE
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:SUE
Last Name:BOWYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14834 STATE ROUTE 7 S
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-9405
Mailing Address - Country:US
Mailing Address - Phone:740-853-0219
Mailing Address - Fax:
Practice Address - Street 1:14834 STATE ROUTE 7 S
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-9405
Practice Address - Country:US
Practice Address - Phone:740-853-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant