Provider Demographics
NPI:1821443235
Name:SOWER, KARI ELIZABETH (NP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ELIZABETH
Last Name:SOWER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 E PALM CANYON DR APT 28
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-4840
Mailing Address - Country:US
Mailing Address - Phone:773-505-4631
Mailing Address - Fax:
Practice Address - Street 1:79200 CORPORATE CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-7245
Practice Address - Country:US
Practice Address - Phone:760-327-7900
Practice Address - Fax:760-327-7905
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016498363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201357820Medicaid
IN0000001013915OtherANTHEM BCBS
IN236040231OtherMEDICARE PTAN
IN201357820Medicaid