Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LADY BOWENNESHEIM
Active Sole ProprietorLADY BOWENNESHEIM is a Family Nurse Practitioner healthcare provider located in WAUCONDA, Illinois. NPI 1790175826 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · WAUCONDA, IL
Registration Details
- NPI Number
- 1790175826
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2015 (11.511002141855 yrs)
- Last Updated
- Dec 9, 2019
- License
-
209.012098 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
431 W LIBERTY STWAUCONDA, IL, 600842452Browse IL providers · Browse ZIP 60084
- Phone
- 8475262151
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in WAUCONDA, IL
| Name | Credential | NPI |
|---|---|---|
| KERRY J EHLERT-DONOVAN | APN | 1720373731 |
| AMANDEEP KAUR | FNP-BC | 1801216973 |
| KRISTINE M REDMOND | APRN, NP-C | 1023424389 |
| MR. RICHARD JOHN ABAIS VILLACERAN | — | 1245649862 |
| MRS. EVA GRIMALDO | FNP-BC | 1922400084 |
| MICHELE R FRESE | APN | 1700271459 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.