Individual provider · NPI-1

Shafia Lanelle Bowser

Non-emergency Medical Transport (VAN) · Roanoke Rapids, NC

NPI number1316635758
StatusActive
Last updated in NPPESMay 26, 2023

Details

NPI
1316635758
Entity type
Individual (NPI-1)
Name
Shafia Lanelle Bowser
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2023
Certification date
May 26, 2023
Last updated
May 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)21638375NCYes

Practice location

1064 Davie School Rd
Roanoke Rapids, NC 27870-9141

Phone 252-678-3846

Mailing address

1064 Davie School Rd
Roanoke Rapids, NC 27870-9141

Phone 252-678-3846

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