Provider Demographics
NPI:1649543257
Name:CLOWER, BRADFORD ROLAND (CRNP)
Entity type:Individual
Prefix:
First Name:BRADFORD
Middle Name:ROLAND
Last Name:CLOWER
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-1157
Mailing Address - Country:US
Mailing Address - Phone:717-243-2544
Mailing Address - Fax:717-243-8578
Practice Address - Street 1:1921 SPRING RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-1157
Practice Address - Country:US
Practice Address - Phone:717-243-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60295380363LF0000X
PASP028838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily