Shawnna Marie Bowman, L.P.N.

Individual provider Active NPI Licensed Practical Nurse · Sebring, OH

NPI 1114971934 · NPPES record last updated Mar 4, 2016

Key facts

NPI
1114971934
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN095958 (OH)
Practice address
438 N 15TH St
Sebring, OH 44672-1310
Phone
(330) 206-2144
NPI assigned
May 19, 2006
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

State licenses

LicenseStateTypeSpecialty
PN095958OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN095958 OH Yes

Addresses

Primary practice location

438 N 15TH St
Sebring, OH 44672-1310

Mailing address

438 N 15TH St
Sebring, OH 44672-1310
Phone (330) 206-2144

Other identifiers

IdentifierTypeStateIssuer
2546169MedicaidOH

Other providers in Sebring, OH

All providers in Sebring, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.