Individual
AMY COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2309 SANTA MARIA ST, AUSTIN, TX 78702-4617
(512) 580-9204
Mailing address
2309 SANTA MARIA ST, AUSTIN, TX 78702-4617
(512) 580-9204
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1129234
TX
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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