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Individual

CHERYL ANN BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
17TH & CHEW STREET, ALLENTOWN, PA 18102
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN164250L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
035823
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072013500002
PA
01
0776396
KHP CENTRAL
PA
01
0800370000
INDEP. BLUE CROSS
PA
01
11803094
CAQH
PA
01
1544465
GATEWAY
PA
01
50007109
CAPITAL ADVANTAGE
PA
01
776396
FIRST PRIORITY
PA
01
82835
GEISINGER
PA
01
9083462
AETNA
PA
Enumeration date
09/15/2005
Last updated
03/25/2013
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