Individual provider · Type 1 NPI
Angela Yvette Bowman, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Detroit, MI
NPI number
1629329032
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2689
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Other practice locations
- 18204 Birchcrest Dr, Detroit, MI 48221-2751 · (313) 671-6602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704244884 (MI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704244884 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629329032
Angela Yvette Bowman, NURSE PRACTITIONER's National Provider Identifier is 1629329032, issued on Sep 25, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Jan 28, 2025.