Individual
KATELYN MAY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
145 SHAFFER ST, WILLIAMSPORT, PA 17702-6727
(570) 327-1335
(570) 321-7800
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019687
PA
363LG0600X
Gerontology Nurse Practitioner
SP019687
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036077900002
—
PA
01
—
1S1977
MEDICARE
PA
Enumeration date
12/04/2018
Last updated
08/15/2022
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