Individual
BAILEE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
2431 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 656-2350
Mailing address
1541 FORT NUGENT RD, OAK HARBOR, WA 98277-8881
(360) 632-6586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61230781
WA
163W00000X
Registered Nurse
Primary
67712
ID
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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