Provider Demographics
NPI:1932196524
Name:BOWENS, NANCY (APNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BOWENS
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 WEST SNELL RD
Mailing Address - Street 2:P.O. BOX 3530
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54903-3530
Mailing Address - Country:US
Mailing Address - Phone:920-231-4010
Mailing Address - Fax:920-236-2628
Practice Address - Street 1:1730 W SNELL RD
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-1140
Practice Address - Country:US
Practice Address - Phone:920-231-4010
Practice Address - Fax:920-236-2628
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI844-033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner