Individual
REBECCA LYNNE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3480 WAKE FOREST RD STE 204, RALEIGH, NC 27609-7376
(919) 862-5282
Mailing address
3480 WAKE FOREST RD STE 204, RALEIGH, NC 27609-7376
(919) 862-5282
(919) 862-5605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011661
NC
Other
Enumeration date
04/13/2019
Last updated
06/01/2019
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