Healthcare Provider Details

I. General information

NPI: 1821809146
Provider Name (Legal Business Name): WENSHU BOWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 OLD YORK RD
ABINGTON PA
19001-3720
US

IV. Provider business mailing address

1433 W LAMPLIGHTER LN
NORTH WALES PA
19454-3697
US

V. Phone/Fax

Practice location:
  • Phone: 215-481-3926
  • Fax:
Mailing address:
  • Phone: 646-248-0928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN748607
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: