Provider Demographics
NPI:1265290266
Name:BOWENS, ANGEL MARIE (CNA)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:MARIE
Last Name:BOWENS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MRS
Other - First Name:ANGEL
Other - Middle Name:MARIE
Other - Last Name:BOWENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:312 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:OH
Mailing Address - Zip Code:45157-1103
Mailing Address - Country:US
Mailing Address - Phone:513-449-4483
Mailing Address - Fax:
Practice Address - Street 1:312 CENTER ST NEW RICHMOND OHIO 45157
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:OH
Practice Address - Zip Code:45157
Practice Address - Country:US
Practice Address - Phone:513-581-7749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X376J00000X
104100000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide