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Individual

LARISSA ANN BOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1500 WALNUT ST, PHILADELPHIA, PA 19102-3523
(267) 754-8400
Mailing address
1125 17TH ST STE 1000, DENVER, CO 80202-2043
(610) 272-8221

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14115
CT
363L00000X
Nurse Practitioner
26NJ15259000
NJ
363L00000X
Nurse Practitioner
312171
NY
363L00000X
Nurse Practitioner
Primary
SP014545
PA
363LA2200X
Adult Health Nurse Practitioner
SP014545
PA
363LG0600X
Gerontology Nurse Practitioner
SP014545
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103036860
PA
Enumeration date
12/08/2014
Last updated
07/30/2025
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