MS. MARY TRAUDT-BOWDOIN (NPI# 1184915563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184915563 |
| Entity Type | Individual |
| Full Name | MS. MARY TRAUDT-BOWDOIN |
| Credential | CRNP |
| Practice Address |
424 Paddock Ln Montgomery AL 36109-4625 |
| Mailing Address |
424 Paddock Lane Montgomery AL 36109-4625 |
| Practice Telephone | 3345930961 |
| Mailing Telephone | 3345930961 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-032115 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
424 PADDOCK LN |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36109 |
Please comment or provide details below to improve the information on MS. MARY TRAUDT-BOWDOIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.