Provider Demographics
NPI:1235936204
Name:BOWERS, CASANDRA LYNN
Entity type:Individual
Prefix:
First Name:CASANDRA
Middle Name:LYNN
Last Name:BOWERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30028 PRESCOTT ST
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-9709
Mailing Address - Country:US
Mailing Address - Phone:734-626-6186
Mailing Address - Fax:
Practice Address - Street 1:4352 W SYLVANIA AVE STE B
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3441
Practice Address - Country:US
Practice Address - Phone:844-561-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.445313163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse