MRS. DEIDRE LANAE BOWMAN COSMETOLOGIST NPI 1417587726

NPI Information

NPI: 1417587726
Provider Name: MRS. DEIDRE LANAE BOWMAN, COSMETOLOGIST
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
5441 BALTIMORE NATIONAL PIKE
BALTIMORE, MD
ZIP 21229
Phone: (443) 673-7064
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MRS. Deidre Lanae Bowman, COSMETOLOGIST is a prosthetics case management specialist in Baltimore, MD. MRS. Deidre Lanae Bowman, COSMETOLOGIST NPI is 1417587726. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5441 BALTIMORE NATIONAL PIKE
BALTIMORE, MD
ZIP 21229-102
Phone: (443) 673-7064

The enumeration date for this NPI number is 1/26/2020 and was last updated on 1/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	452804	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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