Healthcare Provider Details

I. General information

NPI: 1598892119
Provider Name (Legal Business Name): BARBARA ANNE BOWEN MSN, CRNP, CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 POLO CT
COLLEGEVILLE PA
19426-1267
US

IV. Provider business mailing address

449 POLO CT
COLLEGEVILLE PA
19426-1267
US

V. Phone/Fax

Practice location:
  • Phone: 484-686-5350
  • Fax:
Mailing address:
  • Phone: 484-686-5350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberTP006670Z
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN-254043-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: