Individual
NANNETTE S COWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
358 MADISON ST., WATERVILLE, NY 13480
(315) 841-4937
(315) 624-5152
Mailing address
10317 BAILEY LAKE ROAD, WATERVILLE, NM 13480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F332316
—
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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