Individual
KIMBERLY MARIE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
16 TOWN CRIER DR, BRATTLEBORO, VT 05301-8669
(802) 258-4623
Mailing address
PO BOX 8417, BRATTLEBORO, VT 05304-8417
(802) 258-4623
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
026-0026607
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013103
—
VT
Enumeration date
05/08/2007
Last updated
07/08/2007
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