Summer Anne Bowler

Individual provider Active NPI Licensed Vocational Nurse · Fair Oaks, CA

NPI 1508742248 · NPPES record last updated Aug 15, 2025

Key facts

NPI
1508742248
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
733835 (CA)
Practice address
7959 Orange Ave
Fair Oaks, CA 95628-5916
Phone
(209) 331-6557
Fax
(209) 331-6557
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
733835CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 733835 CA Yes

Addresses

Primary practice location

7959 Orange Ave
Fair Oaks, CA 95628-5916

Mailing address

7959 Orange Ave
Fair Oaks, CA 95628-5916

Other providers in Fair Oaks, CA

All providers in Fair Oaks, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.