Individual
MRS. ANETTE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, RN, MSN
Contact information
Practice address
79430 HIGHWAY 111 STE 101, LA QUINTA, CA 92253-4549
(760) 564-3533
(760) 564-3360
Mailing address
79430 HIGHWAY 111, 101, LA QUINTA, CA 92253-4549
(760) 564-3533
(760) 564-3360
Taxonomy
Speciality
Code
Description
License number
State
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
11390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1680Z
PTAN
CA
Enumeration date
02/24/2006
Last updated
07/21/2022
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