Individual
MS. LISA ANN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-SP008020
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102900398
—
PA
Enumeration date
04/16/2007
Last updated
05/29/2014
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