| NPI | 1487025821 |
|---|---|
| Former Name | MELINDA RENEE BOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.17541) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.17541) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2019-01-04 |