Provider Demographics
NPI:1154180784
Name:BOWMAN, CHRISTINA M (APRN, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:M
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MAIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-1819
Mailing Address - Country:US
Mailing Address - Phone:208-718-5582
Mailing Address - Fax:208-281-3821
Practice Address - Street 1:301 MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-1819
Practice Address - Country:US
Practice Address - Phone:208-718-5582
Practice Address - Fax:208-281-3821
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2025-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID7261774363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health