Provider Demographics
NPI:1215691134
Name:BOWIE, SHERYL YVETTE
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:YVETTE
Last Name:BOWIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 REDDIX LN
Mailing Address - Street 2:
Mailing Address - City:RICHWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:71202-5542
Mailing Address - Country:US
Mailing Address - Phone:612-462-0530
Mailing Address - Fax:
Practice Address - Street 1:3409 REDDIX LN
Practice Address - Street 2:
Practice Address - City:RICHWOOD
Practice Address - State:LA
Practice Address - Zip Code:71202-5542
Practice Address - Country:US
Practice Address - Phone:612-462-0530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty