Provider Demographics
NPI:1881818573
Name:BOWDRE, BARBARA SUSAN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SUSAN
Last Name:BOWDRE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2030
Mailing Address - Country:US
Mailing Address - Phone:740-815-2623
Mailing Address - Fax:
Practice Address - Street 1:129 FIELDCREST DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7622
Practice Address - Country:US
Practice Address - Phone:740-362-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN085784164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse