Shirlane A Bowen, APN
Nurse Practitioner, Primary Care in North Brunswick, NJ. Individual provider (NPI-1).
NPI number1114394988
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1114394988
- Entity type
- Individual (NPI-1)
- Name
- Miss Shirlane A Bowen
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2015
- Certification date
- Aug 15, 2022
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 26NJ00522800 | NJ | Yes |
| 363LF0000X | Nurse Practitioner, Family | 26NJ00522800 | NJ |
Practice location
2703 Us Highway 130 Ste 100North Brunswick, NJ 08902-4721
Phone 732-934-4892 · Fax 732-838-1905
Mailing address
3 Cromwell CtEwing, NJ 08628-2223
Phone 609-638-0836
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