Janet R Bowen, LLC

Organization Active NPI Primary Care Clinic/Center · Woodruff, WI

NPI 1255770756 · NPPES record last updated Mar 25, 2016

Key facts

NPI
1255770756
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
57301-030 (WI)
Legal business name
JANET R BOWEN, LLC
Practice address
1106 4TH Ave
Woodruff, WI 54568-9481
Phone
(715) 358-7727
Fax
(715) 358-7525
NPI assigned
Jun 18, 2013
Organization subpart
No

Authorized official

Name
Janet R Bowen, APNP
Title
Nurse Practitioner
Phone
(715) 358-7727

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 57301-030 WI Yes

Addresses

Primary practice location

1106 4TH Ave
Woodruff, WI 54568-9481

Mailing address

PO Box 754
Woodruff, WI 54568-0754
Phone (715) 358-7727

Other identifiers

IdentifierTypeStateIssuer
43855700MedicaidWI

Other providers in Woodruff, WI

All providers in Woodruff, WI · Primary Care Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.