Candice Marie Bowen, LVN

Individual provider Active NPI Licensed Vocational Nurse · Fillmore, CA

NPI 1497288708 · NPPES record last updated Apr 5, 2017

Key facts

NPI
1497288708
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN687231 (CA)
Practice address
59 Orient St
Fillmore, CA 93015-1870
Phone
(805) 774-8165
NPI assigned
Apr 5, 2017
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

LicenseStateTypeSpecialty
VN687231CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN687231 CA
Licensed Vocational Nurse 164X00000X VN687231 CA Yes

Addresses

Primary practice location

59 Orient St
Fillmore, CA 93015-1870

Mailing address

59 Orient St
Fillmore, CA 93015-1870
Phone (805) 774-8165

Other providers in Fillmore, CA

All providers in Fillmore, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.