Provider Demographics
NPI:1528146404
Name:BOWERS, LISA JOY (RNFA)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:JOY
Last Name:BOWERS
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 N WHITMAN ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-1547
Mailing Address - Country:US
Mailing Address - Phone:253-759-3065
Mailing Address - Fax:253-759-3075
Practice Address - Street 1:400 NE MOTHER JOSEPH PL
Practice Address - Street 2:SOUTHWEST WASHINGTON MEDICAL CENTER
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-3200
Practice Address - Country:US
Practice Address - Phone:360-514-2094
Practice Address - Fax:360-514-3209
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00087683163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant