Provider Demographics
NPI:1356546642
Name:BOWKER, PATRICIA LOUISE MAURER (RN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LOUISE MAURER
Last Name:BOWKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:5307 BUCHANAN DR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982-7478
Mailing Address - Country:US
Mailing Address - Phone:772-519-6711
Mailing Address - Fax:
Practice Address - Street 1:5901 BROKEN SOUND PKWY NW
Practice Address - Street 2:SUITE 500
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2773
Practice Address - Country:US
Practice Address - Phone:180-087-5899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 2158012163WC0200X
NC192645163WC0200X
AZRN125212163WC0200X
NMR52239163WC0200X
IA112320163WC0200X
WARN00160029163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine