Individual
NATHAN TRAVIS STOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 787-4462
(315) 787-4288
Mailing address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 787-4462
(315) 787-4288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308474
NY
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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