Most Relevant Information
Provider Data
NPI Number: | 1003329020 |
Provider Name: | MARCELLA BOWEN PMHNP |
Entity Type: | Individual |
Taxonomy Code: | 363LP0808X |
Specialty: | Nurse Practitioner |
License Number: | 0024175576 |
Most Important Dates
Enumeration Date: | 11/13/2017 |
Last Updated: | 06/19/2023 |
Provider Practice Location
809 KENT PL
CHESAPEAKE
VA
233200768
Practice Location Phone/Fax
Phone: | 7574260605 |
Fax: |
Provider Mailing Location
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE
VA
233200218
Provider Mailing Phone/Fax
Phone: | 7575418390 |
Fax: | 4843286552 |