Doctor Name: | MS. BEVERLY JEAN MCGOWAN |
NPI Number: | 1083604367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC, FNP |
License Number: | NUR-RN-LIC-30848 |
Business Practice Address: | 31100 Yearling Run Alberton, MT - 598209326 |
Business Phone Number: | 4065503980 |
Business Fax Number: | 4068735675 |
Mailing Address: | 31100 Yearling Run, ALBERTON |
State: | MT |
Postal Code: | 598209326 |
Phone Number: | 4068642384 |
Fax Number: | 4063279602 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NUR-RN-LIC-30848 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |