1932279429 NPI number — MRS. AMY LYNN BOWSER APRN, ANP-C

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932279429 NPI number — MRS. AMY LYNN BOWSER APRN, ANP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOWSER
Provider First Name:
AMY
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, ANP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932279429
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 MAPLE ROW BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSONVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37075-3853
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-824-1616
Provider Business Mailing Address Fax Number:
615-824-1622

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 MAPLE ROW BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSONVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37075-3853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-824-1616
Provider Business Practice Location Address Fax Number:
615-824-1622
Provider Enumeration Date:
11/09/2006

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: 163W00000X , with the licence number:  RN143885 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: APN000010654 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: APN000010654 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 62-1825612 . This is a "HUMANA CHOICE CARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 621825612 . This is a "CENTER CARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 3341488 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4173209 . This is a "BCBS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 621825612 . This is a "PRIME HEALTH SERVICES" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 621825612 . This is a "BLUEGRASS FAMILY HEALTH" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 621825612 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 62-1825612 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 62-1825612 . This is a "EMPLOYERS HEALTH NETWORK" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 621825612 . This is a "USA MCO" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: SSN . This is a "HUMANA MILITARY - TRICARE STANDARD-SOUTH REGION" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: SSN . This is a "HEALTH NET FEDERAL SERVICES" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 621825612 . This is a "BEECH STREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: SSN . This is a "HUMANA MILITARY - TRICARE PRIME" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 621825612 . This is a "SIGNATURE HEALTH ALLIANCE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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