Provider Demographics
NPI:1366264632
Name:BOWMAN, CARLITA BERNICE
Entity type:Individual
Prefix:
First Name:CARLITA
Middle Name:BERNICE
Last Name:BOWMAN
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 1:4237 HILDRETH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4937
Mailing Address - Country:US
Mailing Address - Phone:202-580-4721
Mailing Address - Fax:
Practice Address - Street 1:3301 23RD ST SE APT 103
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2018
Practice Address - Country:US
Practice Address - Phone:202-386-0994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant