Individual
EILEEN BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1703 S BROAD ST, STE. 300, PHILA, PA 19148-1536
(215) 462-7100
(215) 463-3820
Mailing address
1703 S BROAD ST, STE. 300 ATTN: ANGELA MIDDLETON, PHILA, PA 19148-1536
(215) 462-7100
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
SP005765C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP005765C
LICENSE #
PA
Enumeration date
10/02/2006
Last updated
07/08/2007
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