Individual
DIANA HEATHER COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 PARK CENTRE BLVD STE 102, MIAMI GARDENS, FL 33169-5365
(305) 625-2112
Mailing address
1111 PARK CENTRE BLVD STE 102, MIAMI GARDENS, FL 33169-5365
(305) 625-2112
(305) 625-1008
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
9273065
FL
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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