Provider Demographics
NPI:1457102808
Name:BOWLES, HALLI ELIZABETH
Entity Type:Individual
Prefix:
First Name:HALLI
Middle Name:ELIZABETH
Last Name:BOWLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 COALFIELD TRL
Mailing Address - Street 2:
Mailing Address - City:CHARMCO
Mailing Address - State:WV
Mailing Address - Zip Code:25958-7119
Mailing Address - Country:US
Mailing Address - Phone:304-445-5044
Mailing Address - Fax:
Practice Address - Street 1:239 COALFIELD TRL
Practice Address - Street 2:
Practice Address - City:CHARMCO
Practice Address - State:WV
Practice Address - Zip Code:25958-7119
Practice Address - Country:US
Practice Address - Phone:304-445-5044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant