| Gayle M. Bowen Aprn,bc,pllc | |
|
1361 Elm St Suite 407b Manchester NH 03101-1324 | |
| (603) 622-5951 | |
| (603) 622-6028 |
| Full Name | Gayle M. Bowen Aprn,bc,pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1361 Elm St, Manchester, New Hampshire |
| Authorized Official Name and Position | Gayle M. Bowen (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 6036225951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gayle M. Bowen Aprn,bc,pllc 1361 Elm St Suite 407b Manchester NH 03101-1324 Ph: (603) 622-5951 | Gayle M. Bowen Aprn,bc,pllc 1361 Elm St Suite 407b Manchester NH 03101-1324 Ph: (603) 622-5951 |
| NPI Number | 1235472317 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 04/15/2013 |
| Medicare PECOS PAC ID | 9739315011 |
|---|---|
| Medicare Enrollment ID | O20131114001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235472317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 015728-23 (New Hampshire) | Primary |
| Provider Name | Gayle M Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063520047 PECOS PAC ID: 2961392725 Enrollment ID: I20040317000224 |
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