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NPI Code Detail

MEDICARE: AMY ELIZABETH COWART PMHNP-BC

MEDICARE: AMY ELIZABETH COWART PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1072079TX

General Provider Information

NPI Number : 1881533875
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY ELIZABETH COWART PMHNP-BC
Provider Business Mailing Address
First Line : 5931 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number : 254-870-4874
Fax Number :
Provider Business Practice Location Address
First Line : 5931 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number : 254-870-4874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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