Kristen Cowan, RN
Individual provider Active NPI Registered Nurse · Eureka, CA
NPI 1649643115 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1649643115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 753707 (CA)
- Practice address
- 2200 Tydd St
Eureka, CA 95501-1284 - Phone
- (707) 441-1624
- Fax
- (707) 441-1253
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753707 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 753707 | CA | Yes |
Addresses
Primary practice location
2200 Tydd St
Eureka, CA 95501-1284
Mailing address
670 9TH St
Suite 203
Arcata, CA 95521-6248
Phone (707) 826-8633
Other providers in Eureka, CA
- County of Humboldt
- Court Appointed Special Advocate of Humboldt
- Michelle Rene Courtois
- Covenant Counseling Center
- Covered Bridge Medical and Counseling Services
- Rachel Cox
- Aaron Coyle
- CP Humboldt N-Ca HH, LLC
- Casey Crabb
- Lisa Michelle Crabtree
All providers in Eureka, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.