Provider Demographics
NPI:1871115451
Name:BOWEN, SARA
Entity type:Individual
Prefix:MISS
First Name:SARA
Middle Name:
Last Name:BOWEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2021
Mailing Address - Country:US
Mailing Address - Phone:978-618-2201
Mailing Address - Fax:
Practice Address - Street 1:300 BOYLSTON ST STE 300
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1976
Practice Address - Country:US
Practice Address - Phone:617-449-9750
Practice Address - Fax:617-449-9751
Is Sole Proprietor?:No
Enumeration Date:2020-05-17
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2301537163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology