Individual
KRISTINE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 502, DAYTONA BEACH, FL 32117-5169
(386) 231-3570
Mailing address
400 CLYDE MORRIS BLVD STE A, ORMOND BEACH, FL 32174-8172
(386) 259-6026
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9186632
FL
Other
Enumeration date
03/22/2018
Last updated
02/07/2022
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