Individual
MARYLOU COWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003031
CT
363L00000X
Nurse Practitioner
NP36913
RI
363LF0000X
Family Nurse Practitioner
Primary
003031
CT
Other
Enumeration date
05/11/2006
Last updated
04/14/2015
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