Individual
MARY MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776-3917
(402) 412-7242
(712) 252-5920
Mailing address
600 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5000
(605) 232-3332
(605) 232-0854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111952
NE
363LF0000X
Family Nurse Practitioner
A091311
IA
363LF0000X
Family Nurse Practitioner
CP000341
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093757999
—
IA
05
—
1093757999
—
NE
05
—
1093757999
—
SD
Enumeration date
06/12/2006
Last updated
06/14/2021
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