Patricia Ann Mann Bower
Individual provider Active NPI Registered Nurse · East Quogue, NY
NPI 1457569840 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457569840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2541231 (NY)
- Practice address
- 18 Bay Ave
East Quogue, NY 11942 - Phone
- (631) 653-9524
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2541231 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2541231 | NY | Yes |
Addresses
Primary practice location
18 Bay Ave
East Quogue, NY 11942
Mailing address
21 Long Lane
Hampton Bays, NY 11946
Phone (631) 728-2769
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00875810 | Medicaid | NY |
Other providers in East Quogue, NY
- Mary Anne Kandell
- Sylvia Korza
- Lifelong Rehab Enterprises
- Lifelong Rehab Inc
- Sabrina Grace Mackenzie
- Margaret Mary Massa
- Maryann Elizabeth McCormack
- Patrick McKenna
- Christine Ann Merrihew
- Dorothy A Morgan
All providers in East Quogue, NY · Registered Nurse in New York
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.