Richard Bowlin, CRNA
Nurse Anesthetist, Certified Registered in Monroe, LA. Individual provider (NPI-1).
NPI number1659445385
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1659445385
- Entity type
- Individual (NPI-1)
- Name
- Richard Bowlin
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP04650 | LA | Yes |
Practice location
4864 Jackson StMonroe, LA 71201
Phone 318-330-7626 · Fax 318-330-7648
Mailing address
4864 Jackson StMonroe, LA 71201
Phone 318-330-7626 · Fax 318-330-7648
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