Provider Demographics
NPI:1952616849
Name:BOWLIN, BRIDGETTE MARIE (BIRTH DOULA)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGETTE
Middle Name:MARIE
Last Name:BOWLIN
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278A PINE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-9007
Mailing Address - Country:US
Mailing Address - Phone:717-476-1324
Mailing Address - Fax:
Practice Address - Street 1:1278A PINE GROVE RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-9007
Practice Address - Country:US
Practice Address - Phone:717-632-7429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula