Provider Demographics
NPI:1235379652
Name:MCGOWAN, THERESA MARY (CRNP)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:MARY
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:1200 OLD YORK RD
Mailing Address - Street 2:4 LENFEST WEST
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001
Mailing Address - Country:US
Mailing Address - Phone:215-481-4094
Mailing Address - Fax:215-481-8448
Practice Address - Street 1:225 NEWTOWN RD
Practice Address - Street 2:4TH FLOOR
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5221
Practice Address - Country:US
Practice Address - Phone:215-441-6606
Practice Address - Fax:215-441-6862
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP010071363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics