Provider Demographics
NPI:1154771020
Name:DIAS-BOWIE, YVONNE (APN)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:DIAS-BOWIE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 MIRKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5935
Mailing Address - Country:US
Mailing Address - Phone:865-824-6562
Mailing Address - Fax:865-691-0535
Practice Address - Street 1:9220 MIRKWOOD DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5935
Practice Address - Country:US
Practice Address - Phone:865-824-6562
Practice Address - Fax:865-691-0535
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program