IndividualActive
Angela Bowman, NURSE PRACTITIONER
NPI 1629329032 · Adult Health Nurse Practitioner · Detroit, MI
Provider details
- NPI number
- 1629329032
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704244884 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-8078
Approximate (ZIP-level) locationGet directions
Mailing address
1 Ford Pl Ste 3a
Detroit, MI 48202-3450
Additional practice locations (1)
- 18204 Birchcrest DrDetroit, MI 48221-2751Phone: (313) 671-6602
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.