Provider Demographics
NPI:1073792404
Name:MCGOWAN, CATHY A (RN)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:A
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2436
Mailing Address - Country:US
Mailing Address - Phone:508-339-2077
Mailing Address - Fax:
Practice Address - Street 1:9 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2436
Practice Address - Country:US
Practice Address - Phone:508-339-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155024163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics