Doctor Name: | AMANDA JANET COWELL |
NPI Number: | 1467891945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | R055227 |
Business Practice Address: | 710 W Dewitt Henry Dr A Beebe, AR - 720122102 |
Business Phone Number: | 5018825433 |
Business Fax Number: | 5018822512 |
Mailing Address: | Po Box 1028, BEEBE |
State: | AR |
Postal Code: | 720121028 |
Phone Number: | 5018825433 |
Fax Number: | 5018822512 |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | R055227 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |