Provider Demographics
NPI:1740026129
Name:BOWSER, LAUREN AMANDA (CRNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:AMANDA
Last Name:BOWSER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 BRUNSWICK DR STE 2300
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-8350
Mailing Address - Country:US
Mailing Address - Phone:717-316-3670
Mailing Address - Fax:717-316-7441
Practice Address - Street 1:2201 BRUNSWICK DR STE 2300
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-8350
Practice Address - Country:US
Practice Address - Phone:717-316-3670
Practice Address - Fax:717-316-7441
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN601206163W00000X
PASP030810363LA2200X, 363LP2300X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care