Maria Angelique Bowman, LPN

Individual provider Active NPI Licensed Practical Nurse · Whitehall, OH

NPI 1508622085 · NPPES record last updated Feb 22, 2024

Key facts

NPI
1508622085
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
24173769 (OH)
Practice address
4653 E Main St
Whitehall, OH 43213-3298
Phone
(614) 384-7798
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
Yes

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
24173769OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 24173769 OH Yes

Addresses

Primary practice location

4653 E Main St
Whitehall, OH 43213-3298

Mailing address

4653 E Main St
Whitehall, OH 43213-3298

Other providers in Whitehall, OH

All providers in Whitehall, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.