Individual
COURTNEY LYNN COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
55 SAYLES ST, SOUTHBRIDGE, MA 01550-1729
(508) 764-2400
(508) 909-7770
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2295685
MA
363LF0000X
Family Nurse Practitioner
RN2295685
MA
Other
Enumeration date
01/14/2021
Last updated
06/01/2022
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