Individual
MS. ELIZABETH CAROL MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PHN, RN, FNP
Contact information
Practice address
1330 N INDIAN CANYON DR, SUITE F, PALM SPRINGS, CA 92262-4880
(760) 864-4163
(760) 864-4166
Mailing address
3975 JACKSON ST, 206, RIVERSIDE, CA 92503-3901
(951) 353-2211
(951) 353-2625
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
488533
CA
163WG0100X
Gastroenterology Registered Nurse
488533
CA
363LF0000X
Family Nurse Practitioner
Primary
13822
CA
Other
Enumeration date
09/02/2006
Last updated
11/15/2016
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