Anita R Bowen, RNC, WHNP
Individual provider Active NPI Women's Health Nurse Practitioner · Rolla, MO
NPI 1295873263 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295873263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 150629 (MO)
- Practice address
- 1032 Kingshighway St Ste B
Rolla, MO 65401-2921 - Phone
- (573) 364-1509
- Fax
- (573) 364-6520
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150629 | MO | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Great Rivers-Missouri | Past | Accepting new patients | |
| Tri-Rivers Family Planning, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 150629 | MO | Yes |
Addresses
Primary practice location
1032 Kingshighway St Ste B
Rolla, MO 65401-2921
Mailing address
1317 Hillview Dr
Rolla, MO 65401-2502
Phone (573) 426-6410
Other providers in Rolla, MO
- Brittany L Boren
- Aislinn C Bos
- Elliotte Schafer Bourne
- Lorie Ann Bourne
- Sarah Bowe
- Thomas Brent Bowen
- Anna June Bray
- Breakthrough Counseling LLC
- Jennifer Lynn Bremer
- Brian Haller DMD LLC
All providers in Rolla, MO · Women's Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.