Erica Christine Bennett-Bowden, LVN

Individual provider Active NPI Licensed Vocational Nurse · Converse, TX

NPI 1972172252 · NPPES record last updated Jun 22, 2021

Key facts

NPI
1972172252
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
1034002 (TX)
Practice address
109 Avenue E St
Converse, TX 78109-1412
Phone
(210) 265-3704
NPI assigned
Jun 22, 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

LicenseStateTypeSpecialty
1034002TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 1034002 TX Yes

Addresses

Primary practice location

109 Avenue E St
Converse, TX 78109-1412

Mailing address

109 Avenue E St
Converse, TX 78109-1412
Phone (210) 265-3704

Other practice location 1

109 Avenue E St
Converse, TX 78109-1412

Other providers in Converse, TX

All providers in Converse, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.