Provider Demographics
NPI:1659858546
Name:MCGOWAN, HANNAH MARIA (RN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIA
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 1:3919 TEAL VISTA CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-8743
Mailing Address - Country:US
Mailing Address - Phone:832-967-6759
Mailing Address - Fax:
Practice Address - Street 1:3919 TEAL VISTA CT
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-8743
Practice Address - Country:US
Practice Address - Phone:832-967-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688327163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse