Healthcare Provider Details

I. General information

NPI: 1699612028
Provider Name (Legal Business Name): SARA GOWIN RN, MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W LIBERTY ST STE 237
LANCASTER PA
17603-2792
US

IV. Provider business mailing address

313 W LIBERTY ST STE 237
LANCASTER PA
17603-2792
US

V. Phone/Fax

Practice location:
  • Phone: 717-942-8521
  • Fax: 717-200-7460
Mailing address:
  • Phone: 717-942-8521
  • Fax: 717-200-7460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP036337
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN732456
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: