Individual
MS. MARJORIE G. BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1433 RAINER RD, BROOKHAVEN, PA 19015-1939
(610) 357-8338
Mailing address
2 HAMPSHIRE CT, SICKLERVILLE, NJ 08081-3049
(856) 885-4708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN315184L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
TP006357C
PA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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