OrganizationActive
Bowie State University
NPI 1154888048 · Adult Health Nurse Practitioner · Bowie, MD
Provider details
- NPI number
- 1154888048
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Bowie State University
- Organization subpart
- Yes
- Authorized official
- Artie Travis, Vice President Student Affairs(301) 860-3390
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Phlebology Physician202K00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14000 Jericho Park Road
Henry Wise Wellness Center, Cmrc, Lower Level
Bowie, MD 20715
Phone: (301) 860-4170
Fax: (601) 860-4179
Approximate (ZIP-level) locationGet directions
Mailing address
14000 Jericho Park Road
Bowie, MD 20715
Other names (DBA / former)
- Other name
- Henry Wise Wellness Center
Registry dates
- Enumerated
- 2019-02-27
- Last updated
- 2019-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.