Individual provider · NPI-1

Stephanie Vining Bowen

Audiologist · Memphis, TN

NPI number1609024272
StatusActive
Last updated in NPPESDec 20, 2011

Details

NPI
1609024272
Entity type
Individual (NPI-1)
Name
Stephanie Vining Bowen
Sex
Female
Sole proprietor
No
Enumeration date
Sep 8, 2008
Last updated
Dec 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist0000001256TNYes

Practice location

5625 Poplar Ave
Memphis, TN 38119-3816

Phone 901-761-0147 · Fax 901-763-4332

Mailing address

5625 Poplar Ave
Memphis, TN 38119-3816

Phone 901-761-0147 · Fax 901-763-4332

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