Individual
BONNIE LEE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S FRONT STREET, HARRISBURG, PA 17101-2010
(717) 782-5182
(717) 782-5920
Mailing address
118 WASHINGTON STREET, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001153390
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN573215
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010115264
—
VA
Enumeration date
03/17/2006
Last updated
11/03/2008
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