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Marlisa G. Mcgowan, PNP-C
Pediatric Nurse Practitioner in Mountain Grove, Missouri
NPI 1295119220

Marlisa G. Mcgowan is a Pediatric Nurse Practitioner based in Saint Louis, MO and is specialized in Pediatrics. Marlisa G. Mcgowan practices in Mountain Grove, MO and has the professional credentials of PNP-C. The NPI Number for Marlisa G. Mcgowan is 1295119220 and holds a License No. 2015018288 (Missouri).

The current practice location address for Marlisa G. Mcgowan is 120 W 16Th St, Mountain Grove, MO and can be reached out via phone at 417-926-6111 and via fax at 417-926-6115.

Location: 120 W 16Th St, Mountain Grove, MO, 63150-5164
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Provider Profile Details
NPI Number
1295119220
Provider Name
Marlisa G. Mcgowan
Credential
PNP-C
Provider Entity Type
Individual
Gender
Female
Address
120 W 16Th St, Mountain Grove, MO, 63150-5164
Phone Number
417-926-6111
Fax Number
417-926-6115
Provider Enumeration Date
07/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295119220 05 MO
institution
Provider Business Practice Location Address Details
Address
120 W 16Th St
City
State
Zip
65711-1039
Phone Number
417-926-6111
Fax Number
417-926-6115
person
Provider Business Mailing Address Details
Address
120 W 16Th St
City
State
Zip
65711-1039
Phone Number
417-926-6111
Fax Number
417-926-6115
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2015018288 (Missouri)
Definition
Definition to come...
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