Provider Demographics
NPI:1891340527
Name:MOWRY, MORIAH LYNN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MORIAH
Middle Name:LYNN
Last Name:MOWRY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MORIAH
Other - Middle Name:LYNN
Other - Last Name:KROMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:765 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1423
Mailing Address - Country:US
Mailing Address - Phone:724-961-0099
Mailing Address - Fax:
Practice Address - Street 1:500 W BERKELEY ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5514
Practice Address - Country:US
Practice Address - Phone:724-961-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020543363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily