Individual
MRS. CHERRIE L. COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2610 CAMDEN AVE, PARKERSBURG, WV 26101-5652
(304) 917-3733
(304) 917-3750
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12967
OH
363L00000X
Nurse Practitioner
Primary
26653
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2198492
—
OH
01
—
26653
STATE NURSING LICENSE #
WV
05
—
7102017000
—
WV
01
—
NP76911
PROVIDER ID NUMBER
WA
01
—
RN 215226
OHIO NURSING LICENSE #
OH
01
—
RXA1063
WV PRESCRIPTIVE AUTH #
WV
Enumeration date
10/04/2006
Last updated
03/07/2023
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