MISS TYESHA BOWEN AGNP NPI 1629440516

NPI Information

NPI: 1629440516
Provider Name: MISS TYESHA BOWEN, AGNP
Classification: Registered Nurse - 163WG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: ARMANDO A DEFERIA MD PA

PECOS Registration: Yes

Address:
600 N HIATUS RD
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 392-7157
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MISS Tyesha Bowen, AGNP is a gerontology registered nurse in Pembroke Pines, FL with 9 years of experience. MISS Tyesha Bowen, AGNP NPI is 1629440516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 N HIATUS RD
PEMBROKE PINES, FL
ZIP 33026-207
Phone: (954) 392-7157

The NPI 1629440516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 10/30/2015.

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	163WG0600X	Registered Nurse	Gerontology	ARNP9358144	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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