Bowen, Amy Kristina

Bowen, Amy Kristina is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bowen, Amy Kristina can be contacted via phone (864) 560-6654.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Fax: (864) 560-7353
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN 2112 South Carolina

Profile Details

NPI number 1770611311
LBN Legal business name Bowen, Amy Kristina
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770611311 NPPES
South Carolina Other SC21668510 MEDICARE PIN
South Carolina MEDICAID NP1307 MEDICARE PIN
South Carolina Other SC21669068 MEDICARE PIN
South Carolina Other SC21665019 MEDICARE PIN

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