Individual ProviderAlice BowenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(214) 288-1281PECOS EnrollmentBased on the most recent information from CMS, provider Alice Bowen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1750889523Provider TypeIndividualFull NameBowen, AliceCredentialNPGenderFemaleSole ProprietorYesEnumeration Date1/26/2018Last Updated9/16/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(214) 288-1281FaxUnlisted FaxMailing LocationMailing Address4151 Cobblers Ln, Dallas, TX 75287-6726Phone(214) 288-1281FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP135145Texas