STACIE BOWEN APRN-CNP
NPI 1124636576
Nurse Practitioner - Family in Charleston, WV
Active since July 21, 2020
About Stacie Bowen Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACIE BOWEN APRN-CNP (NPI 1124636576) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (106970) and active in the NPI registry since July 2020.
NPPES Registry Identity
NPI1124636576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACIE BOWENCredential: APRN-CNP
Location Address4307 MACCORKLE AVE SECharleston, WV 25304-2500
Mailing Address103 Station Place WayHurricane, WV 25526-8747 · (304) 205-6123
Phone(304) 205-6123
Sole ProprietorNo
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1124636576 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 106970
4307 MACCORKLE AVE SE, Charleston, WV 25304
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (Oral and Maxillofacial Surgery)
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304
CHARLESTON, WV 25304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124636576, enumerated as an "individual" on July 21, 2020.
The provider is located at 4307 MACCORKLE AVE SE CHARLESTON, WV 25304 and the phone number is (304) 205-6123.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
