1871076521 NPI number — MRS. SYLVIA CHASTITY BOWMAN FNP-BC

Table of content: MRS. SYLVIA CHASTITY BOWMAN FNP-BC (NPI 1871076521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871076521 NPI number — MRS. SYLVIA CHASTITY BOWMAN FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOWMAN
Provider First Name:
SYLVIA
Provider Middle Name:
CHASTITY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
INGRAM
Provider Other First Name:
SYLVIA
Provider Other Middle Name:
CHASTITY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN-CNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1871076521
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5358
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78502-5358
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-362-5673
Provider Business Mailing Address Fax Number:
956-362-2038

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5500 RAPHAEL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539-1407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-362-5673
Provider Business Practice Location Address Fax Number:
956-362-2038
Provider Enumeration Date:
09/10/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP138269 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com