Bowman, Susan Lyn

Bowman, Susan Lyn is an individual health care provider with primary practice located at 1150 Salido Ave , Lady Lake FL 32159. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bowman, Susan Lyn can be contacted via phone (715) 610-7401.

Contact Information

Primary practice address
1150 Salido Ave Lady Lake FL 32159
Phone: (715) 610-7401
Fax: (844) 395-8871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1473-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11005456 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1473 Wisconsin

Profile Details

NPI number 1528087830
LBN Legal business name Bowman, Susan Lyn
Credentials FNP-BC, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 15th, 2021 - about 3 years ago

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 1528087830 NPPES
Wisconsin MEDICAID 43898000
Wisconsin MEDICAID 1528087830

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