Bowie State University
Bowie State University is a Phlebology Physician in Bowie, Maryland. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 4
Practice location Address checks out
14000 Jericho Park Road Henry Wise Wellness Center Cmrc Lowr LevelBowie, MD 20715
Phone: (301) 860-4170
Fax: (601) 860-4179
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X |
|---|---|
| Phlebology Physician | Taxonomy 202K00000X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Obstetrics & Gynecology Nurse Practitioner | Taxonomy 363LX0001X |
Record details
| NPI number | 1154888048 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Bowie State University |
| Authorized official | Artie Travis — Vice President Student Affairs · (301) 860-3390 |
| Other names | Henry Wise Wellness Center |
| NPI enumerated | February 27, 2019 |
| Last updated in NPPES | February 27, 2019 |
| Mailing address | 14000 Jericho Park Road, Henry Wise Wellness Center, Cmrc, Lower Level, Bowie, MD 20715 |