Basic Information
| Provider Information | |||||||||
| NPI: | 1215650320 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOWERS | ||||||||
| FirstName: | EMILY | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2511 260TH LN | ||||||||
| Address2: | |||||||||
| City: | WINTERSET | ||||||||
| State: | IA | ||||||||
| PostalCode: | 502738365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5157059426 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12499 UNIVERSITY AVE | ||||||||
| Address2: | |||||||||
| City: | CLIVE | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503258288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152456425 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2022 | ||||||||
| LastUpdateDate: | 09/22/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | F07220556 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.