Elizabeth Yun Bowman, IDC
Individual provider Active NPI Independent Duty Corpsman · Tinker Afb, OK
NPI 1154765022 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1154765022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 7050 Air Depot Blvd
Tinker Afb, OK 73145-8716 - Phone
- (405) 582-6665
- Fax
- (405) 736-3619
- NPI assigned
- Apr 23, 2013
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Mailing address
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Phone (405) 582-6665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710/1002X | Other | MILITARY IDC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.navy.mil | Direct |
Other providers in Tinker Afb, OK
- Jocelyn Marie Barton
- Philip M Beck
- Mackenzie Rebecca Berry
- Riana R Berry
- Alexsa Billups
- Erin Nicole Brack
- Shannon Dawn Brewer
- Alisha Lynn Bright
- Stephanie Brushett
- Jamie Burks
All providers in Tinker Afb, OK · Independent Duty Corpsman in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.