Provider Demographics
NPI:1780241133
Name:BOWMAN, RAASHIDAH ELIZABETH (CNA CMA)
Entity type:Individual
Prefix:
First Name:RAASHIDAH
Middle Name:ELIZABETH
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:CNA CMA
Other - Prefix:
Other - First Name:RAASHIDAH
Other - Middle Name:ELIZABETH
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNA CMA
Mailing Address - Street 1:1208 REMINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:610-800-4604
Mailing Address - Fax:
Practice Address - Street 1:1208 REMINGTON STREET
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-800-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA24C8Y8K4171W00000X, 3747P1801X, 376J00000X
PA10022995372600000X, 376K00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No171W00000XOther Service ProvidersContractor
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker