| Doctor Name: | BETH COWDER |
| NPI Number: | 1508233297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AG0715132 |
| Business Practice Address: | 555 Geo Drive Philipsburg, PA - 16866 |
| Business Phone Number: | 8147681200 |
| Business Fax Number: | |
| Mailing Address: | 1005 Greenwood Road, CURWENSVILLE |
| State: | PA |
| Postal Code: | 16833 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2015 |
| NPI Last Update Date: | 08/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AG0715132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |