NPI 1366529315 · live from the CMS NPI Registry
Mariya V Bowen
Nurse Practitioner in St Paul, MN. National Provider Identifier 1366529315, active.
NPI record
| NPI | 1366529315 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 345 North Smith Avenue, Childrens Hospitals & Clinics Of Mn Emerg Phys Stpl, St Paul, MN 55102 |
| Practice phone | 651-220-6914 |
| Mailing address | 2910 Centre Pointe Drive, 35 121a Childrens Health Care, Roseville, MN 55113 |
| Enumerated | November 1, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | R1706714 (MN) |
| Nurse Practitioner, Pediatrics | 363LP0200X | R1706714 (MN) |
| Nurse Practitioner, Primary Care | 363LP2300X | R1706714 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.