Provider Demographics
NPI:1598207862
Name:COWAN, JAMES MICHAEL (APRN-C, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:COWAN
Suffix:
Gender:M
Credentials:APRN-C, FNP-C
Other - Prefix:MR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:COWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APNC
Mailing Address - Street 1:669 AGENCY MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARLEM
Mailing Address - State:MT
Mailing Address - Zip Code:59526-9455
Mailing Address - Country:US
Mailing Address - Phone:406-353-3100
Mailing Address - Fax:406-353-3227
Practice Address - Street 1:453 PINE GROVE RD
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:MT
Practice Address - Zip Code:59527-7769
Practice Address - Country:US
Practice Address - Phone:406-673-3777
Practice Address - Fax:406-673-3835
Is Sole Proprietor?:No
Enumeration Date:2016-11-17
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1398240072163W00000X
KS5377245072363LF0000X
WY46669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse