Provider Demographics
NPI:1477330249
Name:MCGOWEN, ERIN M
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:MCGOWEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6609 NW 31ST TER
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-4011
Mailing Address - Country:US
Mailing Address - Phone:405-979-0470
Mailing Address - Fax:
Practice Address - Street 1:6609 NW 31ST TER
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-4011
Practice Address - Country:US
Practice Address - Phone:405-979-0470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty