Provider Demographics
NPI:1013108281
Name:BOWERS, TERESA BIEDIGER (RN NP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:BIEDIGER
Last Name:BOWERS
Suffix:
Gender:F
Credentials:RN NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 SUNSET BLVD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-4840
Mailing Address - Country:US
Mailing Address - Phone:803-794-7511
Mailing Address - Fax:803-794-7751
Practice Address - Street 1:2728 SUNSET BLVD
Practice Address - Street 2:SUITE 402
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4840
Practice Address - Country:US
Practice Address - Phone:803-794-7511
Practice Address - Fax:803-794-7751
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3312363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care