Provider Demographics
NPI:1861864050
Name:BOWEN, CATHERINE GIDDENS (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:GIDDENS
Last Name:BOWEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:GIDDENS
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:907 18TH ST E STE 400
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31794-3684
Mailing Address - Country:US
Mailing Address - Phone:229-353-3422
Mailing Address - Fax:229-353-6060
Practice Address - Street 1:813 N IRWIN AVE
Practice Address - Street 2:
Practice Address - City:OCILLA
Practice Address - State:GA
Practice Address - Zip Code:31774-3757
Practice Address - Country:US
Practice Address - Phone:229-468-7323
Practice Address - Fax:229-468-7320
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN208986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily