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KASHANTI SHANTI BOWDEN

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1023682705

Individual Registrant:
 KASHANTI SHANTI BOWDEN 
Gender: F
Sole Proprietor

Location and contact information for practice:
6910 OLD WOLF BAY RD  PALATKA, FL 32177-6800 US
Tel: 386-328-7337  Fax: --

Contact information for business:
6548 SAND LAKE SOUND RD UNIT 5220  ORLANDO, FL 32819-7639 US
Tel: 407-375-1195  Fax: --

Registration Information:
NPI: 1023682705
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
FLAPRN11011957

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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