Individual
MIRANDA LYNN COWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 N 6TH 1/2 ST, TERRE HAUTE, IN 47807-1039
(812) 238-7000
Mailing address
3627 E OAKDALE DR, TERRE HAUTE, IN 47802-8928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012289A
IN
Other
Enumeration date
02/21/2022
Last updated
01/26/2024
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