Provider Demographics
NPI:1356693550
Name:BOWEN, DINA BITAR (FNP-BC)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:BITAR
Last Name:BOWEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BAY GULL CT
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32119-8306
Mailing Address - Country:US
Mailing Address - Phone:386-562-2477
Mailing Address - Fax:
Practice Address - Street 1:7 BAY GULL CT
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32119-8306
Practice Address - Country:US
Practice Address - Phone:386-562-2477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9298522163W00000X
FLAPRN11039631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse