Provider Demographics
NPI:1518743764
Name:BOWERS, SHARON MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3864 EAGLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-9127
Mailing Address - Country:US
Mailing Address - Phone:772-342-5040
Mailing Address - Fax:
Practice Address - Street 1:23715 NE HIGHWAY 314
Practice Address - Street 2:
Practice Address - City:SALT SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32134-6239
Practice Address - Country:US
Practice Address - Phone:904-414-2014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11026122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily