Provider Demographics
NPI:1558174235
Name:PERRIGAN-BOWMAN, PAMELA S (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:PERRIGAN-BOWMAN
Suffix:
Gender:
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 LOW GAP RD
Mailing Address - Street 2:
Mailing Address - City:CLINCHCO
Mailing Address - State:VA
Mailing Address - Zip Code:24226-8772
Mailing Address - Country:US
Mailing Address - Phone:276-218-0327
Mailing Address - Fax:276-218-1180
Practice Address - Street 1:936 LOW GAP RD
Practice Address - Street 2:
Practice Address - City:CLINCHCO
Practice Address - State:VA
Practice Address - Zip Code:24226-8772
Practice Address - Country:US
Practice Address - Phone:276-218-0327
Practice Address - Fax:276-218-1180
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001240173171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator