Cowan, Freda Edwina Clark

Cowan, Freda Edwina Clark is an individual health care provider with primary practice located at 902 Kirkwood Ave Nw , Lenoir NC 28645-5121. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cowan, Freda Edwina Clark can be contacted via phone (828) 754-0101.

Contact Information

Primary practice address
902 Kirkwood Ave Nw Lenoir NC 28645-5121
Phone: (828) 754-0101
Fax: (828) 757-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 600019 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 600019 North Carolina

Profile Details

NPI number 1366407405
LBN Legal business name Cowan, Freda Edwina Clark
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 7th, 2023 - about last year

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 1366407405 NPPES
North Carolina MEDICAID 7000897
North Carolina Other 600019
North Carolina Other 89770

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