Provider Demographics
NPI:1750891909
Name:BOWMAN, TONIA CLARE (APRN, CNM)
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:CLARE
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ACWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03607-4713
Mailing Address - Country:US
Mailing Address - Phone:603-309-0740
Mailing Address - Fax:
Practice Address - Street 1:463 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:SOUTH ACWORTH
Practice Address - State:NH
Practice Address - Zip Code:03607
Practice Address - Country:US
Practice Address - Phone:603-863-2961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH056273-23367A00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife