Individual
TRICIA LYNN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
24760 HOSPITAL DR, RED LAKE, MN 56671
(218) 679-0168
(218) 679-3912
Mailing address
9461 KNAPPEN HILL RD NE, BEMIDJI, MN 56601-6917
(507) 380-2446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8478
MN
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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