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NPI Code Detail

MEDICARE: SHERI LYNN SOWA RN, CPNP

MEDICARE:   SHERI LYNN SOWA  RN, CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAP135403TX
2163WP0200XPediatric Registered Nurse661142TX

General Provider Information

NPI Number : 1013427541
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERI LYNN SOWA RN, CPNP
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-3160
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-3160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2017
Last Update Date : 03/12/2026

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