Lisa Alice Bowe, RN

Individual provider Active NPI Registered Nurse · Rhinebeck, NY

NPI 1023602133 · NPPES record last updated Mar 1, 2021

Key facts

NPI
1023602133
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
351334 (NY)
Practice address
88 Fox Hollow Rd
Rhinebeck, NY 12572-3639
Phone
(845) 876-3739
Fax
(718) 206-2399
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
351334NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 351334 NY Yes

Addresses

Primary practice location

88 Fox Hollow Rd
Rhinebeck, NY 12572-3639

Mailing address

88 Fox Hollow Rd
Rhinebeck, NY 12572-3639
Phone (845) 876-3739

Other providers in Rhinebeck, NY

All providers in Rhinebeck, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.