Basic Information
| Provider Information | |||||||||
| NPI: | 1932632510 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOWERS | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 258 BEN FRANKLIN HWY E | ||||||||
| Address2: | |||||||||
| City: | BIRDSBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 195088772 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102882908 | ||||||||
| FaxNumber: | 6108984832 | ||||||||
| Practice Location | |||||||||
| Address1: | 8001 ROOSEVELT BOULEVARD | ||||||||
| Address2: | SMYLIE TIMES BLDG; SUITE 307 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191523039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2677311333 | ||||||||
| FaxNumber: | 2677311284 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2017 | ||||||||
| LastUpdateDate: | 01/15/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | MA059229 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.