Provider Demographics
NPI:1891237145
Name:BOWIE, ARLENE
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:
Last Name:BOWIE
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 1:7726 VILLA GABRIELA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-1665
Mailing Address - Country:US
Mailing Address - Phone:702-645-1505
Mailing Address - Fax:702-645-1505
Practice Address - Street 1:7726 VILLA GABRIELA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-1665
Practice Address - Country:US
Practice Address - Phone:702-645-1505
Practice Address - Fax:702-645-1505
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program