Provider Demographics
NPI:1134179344
Name:BOWLER, FARA WARD (ARNP)
Entity type:Individual
Prefix:MRS
First Name:FARA
Middle Name:WARD
Last Name:BOWLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:FARA
Other - Middle Name:N
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:4101 W CONEJOS PL
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1377
Mailing Address - Country:US
Mailing Address - Phone:303-595-2600
Mailing Address - Fax:303-595-2626
Practice Address - Street 1:13611 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-5701
Practice Address - Country:US
Practice Address - Phone:303-493-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO128107363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4873OtherPRACTICE NURSING REGISTRY