Individual provider · Type 1 NPI

Grace Bowen

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1063398683 Active

Practice location

1015 Walnut St Bldg SUITE115
Philadelphia, PA 19107-5005

Mailing address

1025 Walnut St
Philadelphia, PA 19107-5001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063398683

Grace Bowen's National Provider Identifier is 1063398683, issued on Aug 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 13, 2026.