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NPI Code Detail

MEDICARE: SETH P COWAN A.R.N.P.

MEDICARE: SETH P COWAN A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN00167322WA
2363LF0000XFamily Nurse PractitionerAP30007992WA

General Provider Information

NPI Number : 1366501991
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH P COWAN A.R.N.P.
Provider Business Mailing Address
First Line : 916 S 3RD ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-4324
Country : US
Telephone Number : 360-336-5658
Fax Number : 360-336-5655
Provider Business Practice Location Address
First Line : 916 S 3RD ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-4324
Country : US
Telephone Number : 360-336-5658
Fax Number : 360-336-5655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 05/21/2024

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