Stephanie Leigh Bowman, FNP

Individual provider Active NPI Family Nurse Practitioner · Scott Depot, WV

NPI 1508224916 · NPPES record last updated Sep 5, 2018

Key facts

NPI
1508224916
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
49673 (WV)
Practice address
95 Heidi Way
Scott Depot, WV 25560
Phone
(304) 541-8499
NPI assigned
Feb 1, 2016
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 49673 WV Yes

Addresses

Primary practice location

95 Heidi Way
Scott Depot, WV 25560

Mailing address

95 Heidi Way
Scott Depot, WV 25560-9223
Phone (304) 541-8499

Other providers in Scott Depot, WV

All providers in Scott Depot, WV · Family Nurse Practitioner in West Virginia

Sources for this page

Verify at the official NPI Registry.