Individual
SUSAN COURTENY MCGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
844 KEMPSVILLE RD STE 212, NORFOLK, VA 23502-3927
(757) 261-5977
Mailing address
844 KEMPSVILLE RD STE 212, NORFOLK, VA 23502-3927
(757) 261-5977
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024170339
VA
363LA2100X
Acute Care Nurse Practitioner
240590
MA
Other
Enumeration date
11/13/2006
Last updated
04/23/2024
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