Individual
SARA COWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1845 FAIRMOUNT ST, WICHITA, KS 67260-9700
(316) 978-4792
Mailing address
1845 FAIRMOUNT ST, WICHITA, KS 67260-9700
(316) 978-4792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-80728-072
KS
Other
Enumeration date
06/23/2017
Last updated
12/03/2021
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