Angela Michelle Bowden, LPN

Individual provider Active NPI Licensed Practical Nurse · South Charleston, WV

NPI 1306560438 · NPPES record last updated Oct 3, 2022

Key facts

NPI
1306560438
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
32985 (WV)
Practice address
332 6TH Ave
South Charleston, WV 25303-1269
Phone
(304) 757-9333
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
32985WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stonerise Home Health Services LLC Past
since Oct 9, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 32985 WV Yes

Addresses

Primary practice location

332 6TH Ave
South Charleston, WV 25303-1269

Mailing address

332 6TH Ave
South Charleston, WV 25303-1269
Phone (304) 757-9333

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Angela.bowden@stonerise.com Direct

Other providers in South Charleston, WV

All providers in South Charleston, WV · Licensed Practical Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.