Provider Demographics
NPI:1851986632
Name:BOWYER, NANCY SUE
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:SUE
Last Name:BOWYER
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 1:565 ELLIOTT RD
Mailing Address - Street 2:
Mailing Address - City:CROWN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45623-9341
Mailing Address - Country:US
Mailing Address - Phone:740-709-0878
Mailing Address - Fax:
Practice Address - Street 1:565 ELLIOTT RD
Practice Address - Street 2:
Practice Address - City:CROWN CITY
Practice Address - State:OH
Practice Address - Zip Code:45623-9341
Practice Address - Country:US
Practice Address - Phone:740-709-0878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant