Natisha Lanore Bowers, CNA
Individual provider Active NPI Nurse's Aide · Union, WV
NPI 1962094656 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1962094656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 79796 (WV)
- Practice address
- 3586 Greenville Rd
Union, WV 24983-8460 - Phone
- (304) 646-0283
- NPI assigned
- Feb 4, 2021
- 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 |
|---|---|---|---|
| 1401206170 | VA | MD | Nurse's Aide |
| 79796 | WV | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 1401206170 | VA | |
| Nurse's Aide | 376K00000X | 79796 | WV | Yes |
Addresses
Primary practice location
3586 Greenville Rd
Union, WV 24983-8460
Mailing address
3586 Greenville Rd
Union, WV 24983-8460
Other providers in Union, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. 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.