Matthew Greigory Bowe, RN
Nurse Anesthetist, Certified Registered in Flagstaff, AZ. Individual provider (NPI-1).
NPI number1982163713
StatusActive
Last updated in NPPESAug 16, 2021
Details
- NPI
- 1982163713
- Entity type
- Individual (NPI-1)
- Name
- Matthew Greigory Bowe
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Aug 16, 2021
- Last updated
- Aug 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 256106 | AZ | Yes |
| 163W00000X | Registered Nurse | RN60117201 | WA |
Practice location
1200 N Beaver StFlagstaff, AZ 86001-3118
Phone 928-213-6235
Mailing address
201 W 40th AveSpokane, WA 99203-1535
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