Doctor Name: | LEIGH ANN BOWER |
NPI Number: | 1477724318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009776 |
Business Practice Address: | 575 Coal Valley Rd Suite 209 Jefferson Hills, PA - 150253730 |
Business Phone Number: | 4124697010 |
Business Fax Number: | 4124695377 |
Mailing Address: | 2581 Washington Rd, Suite 211 UPPER ST CLAIR |
State: | PA |
Postal Code: | 152412564 |
Phone Number: | 4128315504 |
Fax Number: | 4128315515 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP009776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |