Doctor Name: | MS. BONNIE MCGOWAN |
NPI Number: | 1659695443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 665787 |
Business Practice Address: | 3687 Veterans Dr Patient Care Services/ Nursing (118) Fort Harrison, MT - 596369703 |
Business Phone Number: | 4064477019 |
Business Fax Number: | 4064477968 |
Mailing Address: | 1021 Redpoll Loop, HELENA |
State: | MT |
Postal Code: | 596020545 |
Phone Number: | 8056800003 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2010 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | 665787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |