Doctor Name: | CASEY FINN MCGOWIN |
NPI Number: | 1538463807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP |
License Number: | 305541 |
Business Practice Address: | 386 Montauk Hwy Suite 5 Wainscott, NY - 119752000 |
Business Phone Number: | 6315373765 |
Business Fax Number: | 6315374296 |
Mailing Address: | P.o. Box 2340, SOUTHAMPTON |
State: | NY |
Postal Code: | 11969 |
Phone Number: | 6312832430 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2010 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 305541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |