Individual
SANDRA R KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3080 HAMILTON BLVD, STE 350, ALLENTOWN, PA 18103-3694
(484) 661-4650
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN239575L
PA
363LF0000X
Family Nurse Practitioner
UP006605B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500531144
BLUE CROSS
PA
01
—
P00294722
RAILROAD MEDICARE
PA
Enumeration date
09/06/2005
Last updated
04/06/2020
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