Tonya A Bowzer, NP
Individual provider Active NPI Nurse Practitioner · Northbridge, MA
NPI 1497098339 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1497098339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN284920 (MA)
- Practice address
- 100 Commerce Dr
Northbridge, MA 01534-1415 - Phone
- (508) 372-3510
- Fax
- (508) 234-2627
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131126001695 | MA | Practitioner - Nurse Practitioner | 2466688221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN284920 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Regional Physician Group, Inc. | Current |
Accepting new patients | |
| Milford Regional Physician Group, Inc. | Current |
Accepting new patients |
Locations
1 Lumber St
Hopkinton, MA 01748
Phone (508) 435-5936
68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020
9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480
100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338
100 Commerce Dr
Northbridge, MA 01534
Phone (508) 234-6311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN284920 | MA | |
| Nurse Practitioner | 363L00000X | RN284920 | MA | Yes |
Addresses
Primary practice location
100 Commerce Dr
Northbridge, MA 01534-1415
Mailing address
9 Industrial Rd Ste 5
Milford, MA 01757-3736
Phone (508) 473-1480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110097190A | Medicaid | MA |
Other names
- Tonya A Tabor
Other providers in Northbridge, MA
- Beaumont Wards Lane Trust
- Kristin Blair
- David Blake
- Melanie Boisvert
- Elizabeth Bolt
- Brandon Richard Bregel
- Meghan Marcella Brigham
- Stephanie Byrne
- Molly E Cain
- Angela M Casado-Diaz
All providers in Northbridge, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.