Provider Demographics
NPI:1841065265
Name:BOWER, DEE DEE (RN,BSN,IBCLC,RNC-OB)
Entity type:Individual
Prefix:MRS
First Name:DEE
Middle Name:DEE
Last Name:BOWER
Suffix:
Gender:F
Credentials:RN,BSN,IBCLC,RNC-OB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3255
Mailing Address - Country:US
Mailing Address - Phone:301-697-3241
Mailing Address - Fax:
Practice Address - Street 1:476 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3255
Practice Address - Country:US
Practice Address - Phone:301-697-3241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL-58774163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant