Provider Demographics
NPI:1750334322
Name:BOWLER, DEBORAH L (NP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:BOWLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222B RAYMOND RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03037-1508
Mailing Address - Country:US
Mailing Address - Phone:603-463-7346
Mailing Address - Fax:
Practice Address - Street 1:108 HIGH ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2919
Practice Address - Country:US
Practice Address - Phone:603-772-9315
Practice Address - Fax:603-772-8091
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH018819-23-04363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHS62164Medicare UPIN
NHNP1332Medicare ID - Type UnspecifiedMEDICARE