Individual
MS. MAGGIE A. BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1412 FAIRMOUNT AVE FL 2, PHILA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Mailing address
1412-22 FAIRMOUNT AVE, PHILA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN624128
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018307
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025992270002
—
PA
Enumeration date
05/26/2011
Last updated
08/31/2021
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