NPI 1083149603

Brooke Bowlware, RD

Practitioner Registered Dietitian Edmond, OK

Practice location

Address: 3325 S Boulevard STE 169, Edmond, OK 73013-4808
Phone: (405) 990-5553
Mailing address: 9933 SW 23rd St, Yukon, OK 73099-5119

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1738 (OK)

Other Dietitian, Registered providers in Oklahoma →

Registry record

NPI: 1083149603
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2017
Record last updated: 21 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.