Provider Demographics
NPI:1558935064
Name:BOWERS, TAMMY ANN RAKOWSKI (FNP-BC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:ANN RAKOWSKI
Last Name:BOWERS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8417 NORMAN CT
Mailing Address - Street 2:
Mailing Address - City:FAIRPLAY
Mailing Address - State:MD
Mailing Address - Zip Code:21733-1155
Mailing Address - Country:US
Mailing Address - Phone:301-514-8538
Mailing Address - Fax:
Practice Address - Street 1:303 MEMORIAL BLVD W
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6219
Practice Address - Country:US
Practice Address - Phone:301-791-7060
Practice Address - Fax:301-791-8990
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR111630363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily