Individual
MRS. MARY ROSALIND THORNTON-BOWMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, CRNP
Contact information
Practice address
4700 WISSAHICKON AVE, SUITE 119, PHILADELPHIA, PA 19144-4248
(215) 843-9720
(215) 843-7313
Mailing address
4700 WISSAHICKON AVE, SUITE 118, PHILADELPHIA, PA 19144-4248
(267) 597-3600
(267) 597-3622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN516639L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009389
PA
Other
Enumeration date
04/09/2007
Last updated
07/01/2021
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