Provider Demographics
NPI:1861965030
Name:BOWLING, ANDREA I (MSN, RN, APRN, NP-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:I
Last Name:BOWLING
Suffix:
Gender:F
Credentials:MSN, RN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11418 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1305
Mailing Address - Country:US
Mailing Address - Phone:410-446-1071
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DRIVE ROOM 3D20
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-451-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR208503163W00000X, 363LF0000X
DCRN1033702163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse