Provider Demographics
NPI:1417840141
Name:BOWERS, NATASHA ROSE (APRN, ACNPC-AG)
Entity type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:ROSE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:APRN, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 HARVESTER AVE E
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55119-3888
Mailing Address - Country:US
Mailing Address - Phone:651-786-9574
Mailing Address - Fax:
Practice Address - Street 1:2677 HARVESTER AVE E
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55119-3888
Practice Address - Country:US
Practice Address - Phone:651-786-9574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2290067163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine