Doctor Name: | CATHRYN MARIE COWAN |
NPI Number: | 1174767198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, FNP-BC |
License Number: | A-121956 |
Business Practice Address: | 1330 Waterloo Ln Suite 101 Gardnerville, NV - 894105587 |
Business Phone Number: | 7757825265 |
Business Fax Number: | |
Mailing Address: | 1454 Cardiff Dr, GARDNERVILLE |
State: | NV |
Postal Code: | 894104844 |
Phone Number: | 7122126389 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2009 |
NPI Last Update Date: | 12/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-121956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |