Individual provider · Type 1 NPI
Elizabeth Grace Bowerman
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1740926047
Active
Practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Mailing address
501 Clymer St
Philadelphia, PA 19147-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP023780 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1740926047
Elizabeth Grace Bowerman's National Provider Identifier is 1740926047, issued on May 9, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 9, 2022.