Individual
MRS. KAREN CHRISTINE MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(501) 765-1500
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
512943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123
CVS
—
Enumeration date
01/12/2021
Last updated
01/12/2021
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