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Individual

SUSAN E BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN233600L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001372501
HIGHMARK
PA
01
1147550
AETNA
PA
01
2064158000
INDEPENDENCE BLUE CROSS
PA
01
430034018
RR MEDICARE
PA
01
50055743
CAPITAL BLUE CROSS
PA
01
59491
GEISINGER
PA
01
7134170
AETNA-NON HMO
PA
Enumeration date
03/08/2006
Last updated
03/30/2011
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