Provider Demographics
NPI:1114927480
Name:COWELL, RALPH EDWARD JR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:EDWARD
Last Name:COWELL
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1110 HIDDEN PL NE
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-1993
Mailing Address - Country:US
Mailing Address - Phone:507-455-3757
Mailing Address - Fax:
Practice Address - Street 1:903 S OAK AVE
Practice Address - Street 2:OWATONNA HOSPITAL
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-3200
Practice Address - Country:US
Practice Address - Phone:507-451-3850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 093549-2367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered