Provider Demographics
NPI:1174235337
Name:BOWEN, GREGORY (RN)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:BOWEN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 10650
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-3650
Mailing Address - Country:US
Mailing Address - Phone:927-676-2236
Mailing Address - Fax:
Practice Address - Street 1:9150 ESTATE THOMAS STE 105
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2612
Practice Address - Country:US
Practice Address - Phone:340-727-0220
Practice Address - Fax:888-892-3648
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VI13140163WI0500X
VI200466363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy