Provider Demographics
NPI:1528840840
Name:BOWMAN, TANZZA MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:TANZZA
Middle Name:MARIE
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-5851
Mailing Address - Country:US
Mailing Address - Phone:980-375-7465
Mailing Address - Fax:704-600-6178
Practice Address - Street 1:927 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-5851
Practice Address - Country:US
Practice Address - Phone:980-375-7465
Practice Address - Fax:704-600-6178
Is Sole Proprietor?:No
Enumeration Date:2023-10-20
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019009363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily