Healthcare Provider Details
I. General information
NPI: 1376157016
Provider Name (Legal Business Name): SARAH ABIGAIL BOWE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/01/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14002 S TOWNLINE RD
LINESVILLE PA
16424-8174
US
IV. Provider business mailing address
14002 S TOWNLINE RD
LINESVILLE PA
16424-8174
US
V. Phone/Fax
- Phone: 814-602-9989
- Fax:
- Phone: 814-602-9989
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | RN672125 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | SP022708 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: