Healthcare Provider Details

I. General information

NPI: 1659002202
Provider Name (Legal Business Name): RACHEL LEA MOWRY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL LEA MEGONNELL

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 S GEORGE ST # 4
YORK PA
17401-2732
US

IV. Provider business mailing address

7 DOCK HILL RD
MIDDLEBURG PA
17842-8910
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-2015
  • Fax: 717-812-8193
Mailing address:
  • Phone: 570-837-2123
  • Fax: 570-837-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP025831
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP025831
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: