Active NPIIndividual provider

Mr. Shawn R Bowdoin, CRNA

Nurse Anesthetist, Certified Registered in Lebanon, New Hampshire

NPI Number1164772190
Practice location
10 Alice Peck Day Dr, Lebanon, NH 03766-2900
Fax
—
Last updated
June 8, 2026

Shawn Russell Bowdoin is a Nurse Anesthetist, Certified Registered based in Lebanon, NH. Shawn Russell Bowdoin practices in Lebanon, NH and has the professional credentials of CRNA. The NPI Number for Shawn Russell Bowdoin is 1164772190 and holds a License No. 87780 (CA). The current practice location address for Shawn Russell Bowdoin is 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 and can be reached out via phone at 603-448-3121.

Provider Profile Details

NPI Number
1164772190
Provider Name
Shawn Russell Bowdoin
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
10 Alice Peck Day Dr, Lebanon, NH 03766-2900
Phone Number
603-448-3121
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
September 18, 2012
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Zip
03766-2900
Phone Number
603-448-3121
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
Psc 482
Box 4
Fpo, AP
City
Fpo
State
AP

License Information

License Number
87780
License State
CA
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Shawn R Bowdoin, CRNA?

The NPI number of Mr. Shawn R Bowdoin, CRNA is 1164772190. It was assigned on September 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Shawn R Bowdoin, CRNA?

Mr. Shawn R Bowdoin, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in CA under license number 87780.

Where does Mr. Shawn R Bowdoin, CRNA practice?

The practice location is 10 Alice Peck Day Dr, Lebanon, NH 03766-2900. The office can be reached at 603-448-3121 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164772190 directly on the NPPES registry website.

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