Provider Demographics
NPI:1427624949
Name:BOWEN, KARMINA ELIZABETH (ARNP)
Entity type:Individual
Prefix:
First Name:KARMINA
Middle Name:ELIZABETH
Last Name:BOWEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 SUN HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:WA
Mailing Address - Zip Code:99323-8611
Mailing Address - Country:US
Mailing Address - Phone:509-832-2634
Mailing Address - Fax:
Practice Address - Street 1:1295 FOWLER ST STE 102
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4723
Practice Address - Country:US
Practice Address - Phone:509-783-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61183696363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner