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Individual

MEGHAN MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 535-1300
Mailing address
26116 MOUNTAIN LN, EVANS MILLS, NY 13637-3422
(914) 629-0408

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
739805
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382979
NY

Other

Enumeration date
06/26/2019
Last updated
06/26/2019
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