Provider Demographics
NPI:1013427541
Name:SOWA, SHERI LYNN (RN, CPNP)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:SOWA
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15316 HUEBNER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-0988
Mailing Address - Country:US
Mailing Address - Phone:210-479-9292
Mailing Address - Fax:210-479-9294
Practice Address - Street 1:15316 HUEBNER RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0988
Practice Address - Country:US
Practice Address - Phone:210-479-9292
Practice Address - Fax:210-479-9294
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX661142163WP0200X
TXAP135403363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics