Individual
ANNISHA MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3515 DANCING DAISY LN, RICHMOND, TX 77406-1750
(504) 940-8695
Mailing address
3515 DANCING DAISY LN, RICHMOND, TX 77406-1750
(504) 940-8695
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
891054
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1155323
TX
Other
Enumeration date
02/28/2024
Last updated
03/22/2024
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