GEMMA V BOWERMAN


Address: 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120
Phone: 5206164948

GEMMA V BOWERMAN (NPI# 1447560321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447560321
Entity Type Individual
Full Name GEMMA V BOWERMAN
Credential FNP
Practice Address 2355 N Wyatt Dr
Suite 101
Tucson
AZ 85712-2120
Mailing Address Po Box 188
Marana
AZ 85653-0188
Practice Telephone 5206164948
Practice Fax Number 5206164958
Mailing Telephone 5206824111
Mailing Fax Number 5206824570
Enumeration Date 2010-10-13
Last Update Date 2012-07-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 132854 AZ Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
3756 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 568360 05

Office Location

Street Address 2355 N WYATT DR
SUITE 101
City TUCSON
State AZ
Zip Code 85712-2120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235162983 Linda Chung Ahn Obstetrics & Gynecology 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120 2006-07-08
1346686037 Chantelle Chen Family Medicine 2355 N Wyatt Dr, Ste 101, Tucson, AZ 85712-2120 2013-05-21
1881949188 Douglas G Cook Nurse Practitioner 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120 2012-07-23
1679724124 Marana Health Center, Inc Clinic/Center 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120 2008-10-02
1760538870 Peter P Kay Plastic Surgery 2355 N Wyatt Dr, Suite 111, Tucson, AZ 85712-2120 2007-01-25
1295808244 Christine Naomi Legler Pediatrics 2355 N Wyatt Dr, Ste 101, Tucson, AZ 85712-2120 2006-11-16

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85712

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Dataset Information

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.

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