Provider Demographics
NPI:1740259753
Name:MOWREY, ANTHONY DAVID (RN, MSN, APRN-BC, NP)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:DAVID
Last Name:MOWREY
Suffix:
Gender:M
Credentials:RN, MSN, APRN-BC, NP
Other - Prefix:
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Mailing Address - Street 1:201 E HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2902
Mailing Address - Country:US
Mailing Address - Phone:626-272-6278
Mailing Address - Fax:626-358-0756
Practice Address - Street 1:201 E HAVEN AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2902
Practice Address - Country:US
Practice Address - Phone:626-272-6278
Practice Address - Fax:626-358-0756
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP14539363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABJ057ZMedicare PIN