Cowan, Crystal D

Cowan, Crystal D is an individual health care provider with primary practice located at 709 Spring Valley Rd , Burlington WI 53105-7614. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cowan, Crystal D can be contacted via phone (262) 767-6000.

Contact Information

Primary practice address
709 Spring Valley Rd Burlington WI 53105-7614
Phone: (262) 767-6000
Fax: (262) 767-6000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 3599 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3599-33 Wisconsin

Profile Details

NPI number 1609011261
LBN Legal business name Cowan, Crystal D
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Nov 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609011261 NPPES
Wisconsin MEDICAID 1609011261

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