Individual
COLLIN COWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 2ND ST SE, OSSEO, MN 55369-1652
(651) 283-2945
Mailing address
724 2ND ST SE, OSSEO, MN 55369-1652
(651) 283-2945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2460311
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10823
MN
Other
Enumeration date
10/13/2022
Last updated
09/28/2023
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