Basic Information
| Provider Information | |||||||||
| NPI: | 1366501991 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COWAN | ||||||||
| FirstName: | SETH | ||||||||
| MiddleName: | |||||||||
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| Credential: | A.R.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 916 S 3RD ST | ||||||||
| Address2: | |||||||||
| City: | MOUNT VERNON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982734324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603365658 | ||||||||
| FaxNumber: | 3603365655 | ||||||||
| Practice Location | |||||||||
| Address1: | 916 S 3RD ST | ||||||||
| Address2: | |||||||||
| City: | MOUNT VERNON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982734324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603365658 | ||||||||
| FaxNumber: | 3603365655 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2006 | ||||||||
| LastUpdateDate: | 09/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN00167322 | WA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | AP30007992 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.