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

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

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 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:

1932279429

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/31/2015

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

131 SAUNDERSVILLE RD

Provider Second Line Business Mailing Address:

SUITE 160

Provider Business Mailing Address City Name:

HENDERSONVILLE

Provider Business Mailing Address State Name:

TN

Provider Business Mailing Address Postal Code:

37075-8903

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

615-824-3737

Provider Business Mailing Address Fax Number:

855-540-4722

Provider First Line Business Practice Location Address:

405 STEAM PLANT RD

Provider Second Line Business Practice Location Address:

SUITE 200

Provider Business Practice Location Address City Name:

GALLATIN

Provider Business Practice Location Address State Name:

TN

Provider Business Practice Location Address Postal Code:

37066-3027

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

615-824-3737

Provider Business Practice Location Address Fax Number:

888-295-0304

Provider Enumeration Date:

11/09/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• 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" .
• 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" .

• Identifier: 3341488 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
• Identifier: 0231828 . This is a "WASHINGTON STATE DEPARTMENT OF LABOR" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
• 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 "SIGNATURE HEALTH ALLIANCE" 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: 62-1825612 . This is a "CIGNA HEALTHCARE" 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: 621825612 . This is a "CENTER CARE" 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: 4173209 . This is a "BCBS" 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: SSN . This is a "HEALTH NET FEDERAL SERVICES" 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 "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".