Provider Demographics
NPI:1548591498
Name:BOWMAN, WINDY ANN (PA-C)
Entity type:Individual
Prefix:MS
First Name:WINDY
Middle Name:ANN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:WINDY
Other - Middle Name:
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WINDY GUSE
Mailing Address - Street 1:6475 S YALE AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7802
Mailing Address - Country:US
Mailing Address - Phone:918-502-9650
Mailing Address - Fax:918-502-9655
Practice Address - Street 1:6475 S YALE AVE STE 308
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7802
Practice Address - Country:US
Practice Address - Phone:918-502-9650
Practice Address - Fax:918-502-9655
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2321363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant