IndividualActive
Bryan Stowell
NPI 1720460314 · Pediatric Nurse Practitioner · South Bend, IN
Provider details
- NPI number
- 1720460314
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 28219432A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 234-8161
Approximate (ZIP-level) locationGet directions
Mailing address
211 N Eddy St
South Bend, IN 46617-3096
Registry dates
- Enumerated
- 2015-06-19
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.