Individual
MRS. SARITA ELAINE BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
261 BERKMORE PL, SUITE 1A, BERKELEY SPRINGS, WV 25411-6247
(304) 258-5790
(304) 258-3745
Mailing address
109 RAYLOC DR, HANCOCK, MD 21750-1518
(301) 678-5187
(301) 678-5797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61469
WV
363LF0000X
Family Nurse Practitioner
R162951
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211809
MEDICARE FQHC
MD
01
—
511021
MEDICARE FQHC
WV
Enumeration date
02/26/2012
Last updated
09/27/2016
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