Individual
ELIZABETH GRACE BOWERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(301) 503-1150
Mailing address
501 CLYMER ST, PHILADELPHIA, PA 19147-3010
(301) 503-1150
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP023780
PA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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