Provider Demographics
NPI:1629854955
Name:BOWCOCK, MEAGAN ANN (RN)
Entity type:Individual
Prefix:MS
First Name:MEAGAN
Middle Name:ANN
Last Name:BOWCOCK
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 1:7 SANDRA LN
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-4403
Mailing Address - Country:US
Mailing Address - Phone:774-263-1309
Mailing Address - Fax:
Practice Address - Street 1:156 FRONT ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1501
Practice Address - Country:US
Practice Address - Phone:508-748-3736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA248347163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health