Healthcare Provider Details

I. General information

NPI: 1174934368
Provider Name (Legal Business Name): ASHLEY MARIE COWAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2014
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE
AURORA CO
80045-7106
US

IV. Provider business mailing address

1189 WAIMANU ST APT 3309
HONOLULU HI
96814-4184
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-2715
  • Fax:
Mailing address:
  • Phone: 210-887-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0070816
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD19234
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: