Bowman, Lisa Ann

Bowman, Lisa Ann is an individual health care provider with primary practice located at 909 Walnut St 2Nd Floor, Philadelphia PA 19107-5211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bowman, Lisa Ann can be contacted via phone (215) 955-1234.

Contact Information

Primary practice address
909 Walnut St 2Nd Floor Philadelphia PA 19107-5211
Phone: (215) 955-1234
Fax: (215) 923-6792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP-SP008020 Pennsylvania

Profile Details

NPI number 1760607535
LBN Legal business name Bowman, Lisa Ann
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated May 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760607535 NPPES
Pennsylvania MEDICAID 102900398

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