Individual
MS. DORIS JEAN COWGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12611
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12611
VEST VIRGINIA LICENSE
WV
Enumeration date
08/30/2006
Last updated
07/08/2007
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