Provider Demographics
NPI:1972142685
Name:BOWEN, WHITNEY NICOLE (FNP)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:NICOLE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W RIVERSIDE AVE APT 602
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0176
Mailing Address - Country:US
Mailing Address - Phone:615-670-0619
Mailing Address - Fax:
Practice Address - Street 1:10408 W SUNSET HWY STE 3
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-6002
Practice Address - Country:US
Practice Address - Phone:509-418-2799
Practice Address - Fax:883-983-2962
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000026427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily